Individual
MR. ANTHONY JOHNNY ROMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS
Contact information
Practice address
100 E MARKET ST, LONG BEACH, CA 90805-5924
(562) 428-4222
(562) 428-0372
Mailing address
100 E MARKET ST, LONG BEACH, CA 90805-5924
(562) 428-4222
(562) 428-0372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI-R1101111113
BREINING INSTITUTE
CA
Enumeration date
04/04/2011
Last updated
04/04/2011
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