Amanda Mercado
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1679005102
StatusActive
Last updated in NPPESApr 3, 2017
Details
- NPI
- 1679005102
- Entity type
- Individual (NPI-1)
- Name
- Amanda Mercado
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2017
- Last updated
- Apr 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
4099 N Mission RdLos Angeles, CA 90032-2554
Phone 323-221-1746
Mailing address
4099 N Mission RdLos Angeles, CA 90032-2554
Phone 323-221-1746
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