Individual provider · Type 1 NPI

Amy Lisicki

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1063127793 Active

Practice location

520 N La Brea Ave
Inglewood, CA 90302-3049

Call (323) 294-4932 Map

Mailing address

925 Centinela Ave Apt 5
Inglewood, CA 90302-1579

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14560 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063127793

Amy Lisicki's National Provider Identifier is 1063127793, issued on Jan 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Jan 17, 2023.