Individual
MR. CHRIS SOCORRO VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Mailing address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989
—
CA
Enumeration date
04/30/2007
Last updated
11/03/2015
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