Yanine Mariel Bustos, M.A.

NPI #1104171222 in Gardena, California

Provider Information

NPI Number: 1104171222
Entity Type: Individual
Name: Yanine Mariel Bustos, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A.
Enumeration Date: Jul 14, 2012
Last Updated: Jul 14, 2012

Practice Location

Address: 855 W 130TH ST
Address 2: APT. 6
City: Gardena
State: California
ZIP Code: 90247-1755
Phone: (626) 827-6634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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