Marco Vinicio Menard
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1841104403
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1841104403
- Entity type
- Individual (NPI-1)
- Name
- Marco Vinicio Menard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2026
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | RT1452920826 | CA | Yes |
Practice location
225 N Mariposa AveLos Angeles, CA 90004-4509
Phone 213-736-5441
Mailing address
13181 Crossroads Pkwy N Ste 440City Of Industry, CA 91746-3499
Phone 323-499-3650
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