Individual provider · NPI-1

Marcos Betancourt

Peer Specialist · Long Beach, CA

NPI number1285494252
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1285494252
Entity type
Individual (NPI-1)
Name
Marcos Betancourt
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 19, 2024
Certification date
Mar 19, 2024
Last updated
Mar 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

5861 Cherry Ave
Long Beach, CA 90805-4405

Phone 562-676-4259

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Phone 562-777-7500

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