Jeryck Acuna
Counselor, Addiction (Substance Use Disorder) in Long Beach, CA. Individual provider (NPI-1).
NPI number1063631034
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063631034
- Entity type
- Individual (NPI-1)
- Name
- Jeryck Acuna
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
944 Pacific AveLong Beach, CA 90813-4228
Phone 562-436-3533
Mailing address
944 Pacific AveLong Beach, CA 90813-4228
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