Individual
CARLOS M NIETO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3406
(626) 346-3433
Mailing address
3430 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R14607070522
CA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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