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Mr. Marco Julio Azucena
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1184814246

Marco Julio Azucena is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Marco Julio Azucena practices in Oakland, CA. The NPI Number for Marco Julio Azucena is 1184814246 and holds a License No. 60615 (California).

The current practice location address for Marco Julio Azucena is 1315 Fruitvale Ave, Oakland, CA and can be reached out via phone at 510-536-4760 and via fax at 510-535-6132.

Location: 1315 Fruitvale Ave, Oakland, CA, 94601-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184814246
Provider Name
Marco Julio Azucena
Credential
Provider Entity Type
Individual
Gender
Male
Address
1315 Fruitvale Ave, Oakland, CA, 94601-2927
Phone Number
510-536-4760
Fax Number
510-535-6132
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1315 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2927
Phone Number
510-536-4760
Fax Number
510-535-6132
person
Provider Business Mailing Address Details
Address
1315 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2927
Phone Number
510-536-4760
Fax Number
510-535-6132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
60615 (California)
Definition
Definition to come...
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