AGUSTIN URBIETA

LOS ANGELES, CA
NPI1639729205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-16
Last Update Date2019-09-26
Business Address
AGUSTIN URBIETA
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-8756
Mailing Address
AGUSTIN URBIETA
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-8756