Whitney Rose Acquafresca I
Counselor, Addiction (Substance Use Disorder) in San Pedro, CA. Individual provider (NPI-1).
NPI number1306399720
StatusActive
Last updated in NPPESAug 2, 2016
Details
- NPI
- 1306399720
- Entity type
- Individual (NPI-1)
- Name
- Ms. Whitney Rose Acquafresca I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2016
- Last updated
- Aug 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
599 W 9th StSan Pedro, CA 90731-3105
Phone 559-740-9880
Mailing address
599 W 9th StSan Pedro, CA 90731-3105
Phone 559-740-9880
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