Individual provider · Type 1 NPI

Staicy Maravillas

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1992463541 Active

Practice location

235 W 9th St
San Pedro, CA 90731-3711

Call (310) 521-9209 Map

Fax (310) 521-9241

Specialties and licenses

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

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

28 other providers at this address

Other addiction (substance use disorder) counselor providers in San Pedro

See all in San Pedro →

About NPI 1992463541

Staicy Maravillas's National Provider Identifier is 1992463541, issued on Dec 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Dec 1, 2021.