Individual
DR. MAURO BARACHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 N AVALON BLVD, WILMINGTON, CA 90744-4503
(310) 513-1300
Mailing address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(714) 989-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2014
Last updated
05/15/2025
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