Individual
AURA TELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MONROE, 101, IRVINE, CA 92620-3628
(714) 527-6561
Mailing address
1 MONROE, 101, IRVINE, CA 92620-3628
(714) 527-6561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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