Individual
BIANCA E GUDIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 7TH ST # 104-105, LOS ANGELES, CA 90021-1436
(818) 590-0111
Mailing address
600 E 7TH ST # 104-105, LOS ANGELES, CA 90021-1436
(818) 590-0111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190653BN
—
CA
Enumeration date
11/12/2012
Last updated
11/20/2012
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