Sergio L Cacciotti

NPI #1932757416 in Venice, California

Provider Information

NPI Number: 1932757416
Entity Type: Individual
Name: Sergio L Cacciotti
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Aug 28, 2019
Last Updated: Dec 11, 2020

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 396-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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