Individual provider · Type 1 NPI

Stanislav Modin

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

NPI number 1093985384 Active

Practice location

1318 N Orange Dr Apt 303
Los Angeles, CA 90028-7571

Call (323) 962-4493 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1093985384

Stanislav Modin's National Provider Identifier is 1093985384, issued on Mar 3, 2008. 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 Mar 3, 2008.