Staicy Maravillas
Staicy Maravillas is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
235 W 9th StSan Pedro, CA 90731-3711
Phone: (310) 521-9209
Fax: (310) 521-9241
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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 |
|---|
Record details
| NPI number | 1992463541 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2021 |
| Last updated in NPPES | December 1, 2021 |
| Certification date | December 1, 2021 |
| Mailing address | 235 W 9th St, San Pedro, CA 90731-3711 |
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