Individual provider · Type 1 NPI

Maria Guadalupe Broad

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1992268973 Active

Practice location

1926 Beverly Blvd
Los Angeles, CA 90057-2402

Mailing address

4701 Pine St
Pico Rivera, CA 90660-2263

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1992268973

Maria Guadalupe Broad's National Provider Identifier is 1992268973, issued on Apr 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 8, 2019.