Provider Demographics
NPI:1386150886
Name:APODACA, ABEL JOSEPH JR (SUDCCII, MPA)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:JOSEPH
Last Name:APODACA
Suffix:JR
Gender:M
Credentials:SUDCCII, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S INDIAN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-5444
Mailing Address - Country:US
Mailing Address - Phone:323-379-6480
Mailing Address - Fax:
Practice Address - Street 1:650 S INDIAN HILL BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-5444
Practice Address - Country:US
Practice Address - Phone:323-379-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)