JOHANNA BANUELOS

LONG BEACH, CA
NPI1326658634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  10419)
Enumeration Date2020-08-03
Last Update Date2021-09-09
Business Address
Ms. JOHANNA BANUELOS SUD
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
Mailing Address
Ms. JOHANNA BANUELOS SUD
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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