Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CA | |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1033681606 |
---|---|
Provider Name | Nadine Linares |
First Address | Culver City, CA 90230-4820 |
Second Address | Pacoima, CA 91331-1050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2018 |
Last Update Date | 20/12/2018 |