Individual provider · Type 1 NPI
Anthony Otegbulu
Addiction (Substance Use Disorder) Counselor · Lawndale, CA
NPI number
1043975717
Active
Practice location
4951 Marine Ave
Lawndale, CA 90260-1250
Mailing address
PO Box 71
Lawndale, CA 90260-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043975717
Anthony Otegbulu's National Provider Identifier is 1043975717, issued on Nov 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawndale, CA. The record was last updated on Nov 7, 2021.