person
Marco Augusto Banuelos SR.
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1265942759

Marco Augusto Banuelos SR. is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Marco Augusto Banuelos SR. practices in Los Angeles, CA. The NPI Number for Marco Augusto Banuelos SR. is 1265942759 and holds a License No. (California).

The current practice location address for Marco Augusto Banuelos SR. is 2010 Lincoln Park Ave, Los Angeles, CA and can be reached out via phone at 323-222-1440.

Location: 2010 Lincoln Park Ave, Los Angeles, CA, 90031-3119
person
Provider Profile Details
NPI Number
1265942759
Provider Name
Marco Augusto Banuelos SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2010 Lincoln Park Ave, Los Angeles, CA, 90031-3119
Phone Number
323-222-1440
Fax Number
Provider Enumeration Date
10/10/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2010 Lincoln Park Ave
City
State
Zip
90031-3119
Phone Number
323-222-1440
Fax Number
person
Provider Business Mailing Address Details
Address
2010 Lincoln Park Ave
City
State
Zip
90031-3119
Phone Number
323-222-1440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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