Miguel Bustamante Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Covina, CA
- NPI
- 1790247047
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- R1338340219 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-04-04
- Last updated
- 2019-04-04
Practice location
540 S Eremland Dr Ste A
Covina, CA 91723-3186
(626) 966-1577