MR. JOHN PANGALLO, SUDRC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1568653905
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 9579 (CA) |
Frequently Asked Questions
NPI 1568653905 is the National Provider Identifier for MR. JOHN PANGALLO, SUDRC, a Counselor - Addiction (Substance Use Disorder) provider located in Kings Beach, CA. This NPI was enumerated on August 8, 2007.
MR. JOHN PANGALLO, SUDRC practices at 8491 NORTH LAKE BLVD, Kings Beach, CA 96143.
Quick Facts
- NPI
- 1568653905
- Type
- Individual
- Enumerated
- Aug 8, 2007
- Last Updated
- Sep 18, 2019
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