Eddie James Bernal Jr.
Counselor, Addiction (Substance Use Disorder) in Venice, CA. Individual provider (NPI-1).
NPI number1487242574
StatusActive
Last updated in NPPESJan 5, 2021
Details
- NPI
- 1487242574
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eddie James Bernal Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2021
- Certification date
- Jan 5, 2021
- Last updated
- Jan 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
503 Ocean Front WalkVenice, CA 90291-2403
Phone 866-671-9392
Mailing address
503 Ocean Front WalkVenice, CA 90291-2403
Phone 888-671-9392
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All 71 Addiction (Substance Use Disorder) Counselor providers in Venice · All 751 providers in Venice
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