Individual provider · Type 1 NPI

Prudencesa P. Renfro

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1902262199 Active

Practice location

4513 W 115th St Apt 10
Hawthorne, CA 90250

Call (323) 445-1115 Map

Mailing address

800 W 6th St, Suite 1505
Los Angeles, CA 90017-2704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR117981214 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902262199

Prudencesa P. Renfro's National Provider Identifier is 1902262199, issued on Jan 4, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on Aug 17, 2018.