Provider Demographics
NPI:1134494586
Name:NUNO, ARATH ANDRADE (SUBSTANCE ABUSE COUN)
Entity type:Individual
Prefix:
First Name:ARATH
Middle Name:ANDRADE
Last Name:NUNO
Suffix:
Gender:M
Credentials:SUBSTANCE ABUSE COUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 S KERN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-3041
Mailing Address - Country:US
Mailing Address - Phone:323-422-0379
Mailing Address - Fax:323-266-4142
Practice Address - Street 1:3756 SANTA ROSALIA DR STE 417
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3614
Practice Address - Country:US
Practice Address - Phone:323-295-1136
Practice Address - Fax:323-295-1071
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN0507270932101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN0507270932OtherSUBSTANCE ABUSE COUNSELOR