Individual
CARMEN CHRISTY MAGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W 9TH ST, SAN PEDRO, CA 90731-3711
(310) 831-9411
(310) 521-9241
Mailing address
235 W 9TH ST, SAN PEDRO, CA 90731-3711
(310) 831-9411
(310) 521-9241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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