Individual
CHRISTINA ACOSTA-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADDE 229119-11
Contact information
Practice address
453 S INDIANA ST, LOS ANGELES, CA 90063-3908
(323) 266-7726
Mailing address
453 S INDIANA ST, LOS ANGELES, CA 90063-3908
(323) 266-7726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
229119-11
CA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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