MR. Larry Joseph Puentes, SUDRC
NPI #1407448533 in Stanton, California
Provider Information
- NPI Number
- 1407448533
- Entity Type
- Individual
- Name
- MR. Larry Joseph Puentes, SUDRC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC
- Enumeration Date
- Feb 10, 2021
- Last Updated
- Feb 21, 2022
Practice Location
- Address
- 10936 DALE AVE
- City
- Stanton
- State
- California
- ZIP Code
- 90680-2724
- Phone
- (714) 952-4032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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