Individual
ALFONSO GUDINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11501 DOLAN AVE, DOWNEY, CA 90241-4921
(562) 923-7894
Mailing address
16052 SHARONHILL DR, WHITTIER, CA 90604-3556
(562) 399-3858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10679
CA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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