Individual
ADRIAN ENRIQUE CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 281-1408
Mailing address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 281-1408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI09751117
CA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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