Jesus Efren Vital
Jesus Efren Vital is an Addiction (Substance Use Disorder) Counselor in Panorama City, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
9140 Van Nuys Blvd Ste 211Panorama City, CA 91402-6764
Phone: (818) 895-2206
Fax: (818) 895-0824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 5565 (CA) |
|---|
Record details
| NPI number | 1649745282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 10, 2018 |
| Last updated in NPPES | October 10, 2018 |
| Mailing address | 9140 Van Nuys Blvd Ste 211, Panorama City, CA 91402-6764 |
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