Individual
ANDREW DANIEL RASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14240 IMPERIAL HWY, LA MIRADA, CA 90638-1940
(562) 946-1587
Mailing address
14240 IMPERIAL HWY, LA MIRADA, CA 90638-1940
(562) 946-1587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
09/30/2024
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