| Mr Larry Joseph Puentes, SUDRC | |
|
10936 Dale Ave, Stanton, CA 90680-2724 | |
| (714) 952-4032 | |
| (714) 952-4075 |
| Full Name | Mr Larry Joseph Puentes |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10936 Dale Ave, Stanton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407448533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12773 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Joseph Puentes, SUDRC 10936 Dale Ave, Stanton, CA 90680-2724 Ph: (714) 952-4032 | Mr Larry Joseph Puentes, SUDRC 10936 Dale Ave, Stanton, CA 90680-2724 Ph: (714) 952-4032 |
Gerald Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10751 Dale Ave, Stanton, CA 90680 Phone: 714-821-5311 | |
Clark Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10751 Dale Ave, Stanton, CA 90680 Phone: 714-821-5311 | |
Melissa Anne Rees, RASI Counselor Medicare: Not Enrolled in Medicare Practice Location: 10936 Dale Ave, Stanton, CA 90680 Phone: 714-952-4032 Fax: 714-952-4032 | |
Duke Piazza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10936 Dale Ave, Stanton, CA 90680 Phone: 714-952-4032 | |
Megan Barlogio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10751 Dale Ave, Stanton, CA 90680 Phone: 714-821-5311 | |
Ms. Jacque Paige Deleo, RASI Counselor Medicare: Not Enrolled in Medicare Practice Location: 10936 Dale Ave, Stanton, CA 90680 Phone: 714-952-4032 | |
Rossi Ceniceros, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10751 Dale Ave, Stanton, CA 90680 Phone: 714-821-5311 |