Individual
ANDY ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
Mailing address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11528
CA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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