Individual
CASEY FLANEGIN-BUFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
Mailing address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R27231214
CA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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