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Ms. Prudencesa P Renfro
Addiction (Substance Use Disorder) Counselor in Hawthorne, California
NPI 1902262199

Prudencesa P Renfro is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Prudencesa P Renfro practices in Hawthorne, CA. The NPI Number for Prudencesa P Renfro is 1902262199 and holds a License No. R117981214 (California).

The current practice location address for Prudencesa P Renfro is 4513 W 115Th St Apt 10, Hawthorne, CA and can be reached out via phone at 323-445-1115.

Location: 4513 W 115Th St Apt 10, Hawthorne, CA, 90017-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902262199
Provider Name
Prudencesa P Renfro
Credential
Provider Entity Type
Individual
Gender
Female
Address
4513 W 115Th St Apt 10, Hawthorne, CA, 90017-2704
Phone Number
323-445-1115
Fax Number
Provider Enumeration Date
01/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4513 W 115Th St Apt 10
City
Hawthorne
State
California
Zip
90250
Phone Number
323-445-1115
Fax Number
person
Provider Business Mailing Address Details
Address
4513 W 115Th St Apt 10
City
Hawthorne
State
California
Zip
90250
Phone Number
323-445-1115
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R117981214 (California)
Definition
Definition to come...
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