Individual
ADRIENNE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUD COUNSELOR
Contact information
Practice address
205 W 9TH ST, SAN PEDRO, CA 90731-3711
(310) 521-9209
Mailing address
940 W 18TH ST, SAN PEDRO, CA 90731-4506
(424) 305-9746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
05/19/2022
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