Gustavo Lettieril Murillo
Counselor, Addiction (Substance Use Disorder) in Long Beach, CA. Individual provider (NPI-1).
NPI number1245070002
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1245070002
- Entity type
- Individual (NPI-1)
- Name
- Gustavo Lettieril Murillo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2024
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
5190 Atlantic AveLong Beach, CA 90805-6510
Phone 562-428-4111
Mailing address
5190 Atlantic AveLong Beach, CA 90805-6510
Phone 562-428-4111
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