Doctor Name: | MARY ANN LARAMEE |
NPI Number: | 1023375482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.A.S. |
License Number: | L0409251509 |
Business Practice Address: | 5200 San Gabriel Pl Ste D Pico Rivera, CA - 906602498 |
Business Phone Number: | 5622221310 |
Business Fax Number: | 5622221322 |
Mailing Address: | 5200 San Gabriel Pl Ste D, PICO RIVERA |
State: | CA |
Postal Code: | 906602498 |
Phone Number: | 5622221310 |
Fax Number: | 5622221322 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | L0409251509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |