Individual
ADRIANA GUADALUPE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Mailing address
14725 LA FORGE ST, WHITTIER, CA 90603-1934
(323) 861-2149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
14872
CA
106H00000X
Marriage & Family Therapist
Primary
142290
CA
Other
Enumeration date
06/23/2022
Last updated
01/02/2024
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