Individual provider · Type 1 NPI

Dmitriy Shegelman, RADT

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1093495640 Active

Practice location

5675 W. Olympic Blvd.
Los Angeles, CA 90036

Call (323) 965-1365 Map

Fax (323) 965-0444

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XR1511500623 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1511500623 (CA)

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

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About NPI 1093495640

Dmitriy Shegelman, RADT's National Provider Identifier is 1093495640, issued on Jul 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 3, 2024.