Christina Denise Barraza, Counselor Intern
Counselor, Addiction (Substance Use Disorder) in Carson, CA. Individual provider (NPI-1).
NPI number1952505000
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952505000
- Entity type
- Individual (NPI-1)
- Name
- Christina Denise Barraza
- Credential
- Counselor Intern
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
637 E Albertoni StSuite 200
Carson, CA 90746-1539
Phone 310-217-0616 · Fax 310-217-0545
Mailing address
13707 Doty Ave Apt 32Hawthorne, CA 90250-7552
Phone 310-679-9039
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