Christina Denise Barraza, COUNSELOR INTERN
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Carson, CA
NPI 1952505000 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952505000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 637 E Albertoni St
Suite 200
Carson, CA 90746-1539 - Phone
- (310) 217-0616
- Fax
- (310) 217-0545
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
637 E Albertoni St
Suite 200
Carson, CA 90746-1539
Mailing address
13707 Doty Ave Apt 32
Hawthorne, CA 90250-7552
Phone (310) 679-9039
Other providers in Carson, CA
- Cheri Carroll Baltra
- Jacob Baquir
- Amanda Michelle Baraga
- Stephanie Pabalan Rolando Barela
- Lavonde Barnes
- Mary Stephanie Barrera
- Cindy Marlene Barron
- Basen Inc
- Basen Inc
- Basen Inc
All providers in Carson, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.