Andres De Jesus Mayorga, RADT Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Garden Grove, CA

NPI

1104657535

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

R1562110524 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-08-08

Last updated

2024-08-08