Individual
AMANDA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4099 N MISSION RD, LOS ANGELES, CA 90032-2554
(323) 221-1746
Mailing address
4099 N MISSION RD, LOS ANGELES, CA 90032-2554
(323) 221-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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