Individual provider · Type 1 NPI
Daniel JL Ingersoll, SUDCC-II CS
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1154023497
Active
Practice location
2201 Parnell Ave
Los Angeles, CA 90064-2004
Mailing address
PO Box 491542
Los Angeles, CA 90049-9542
Other practice locations
- 424 Christopher Ct, Ridgecrest, CA 93555-6009 · (760) 428-6389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11533 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154023497
Daniel JL Ingersoll, SUDCC-II CS's National Provider Identifier is 1154023497, issued on Mar 20, 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 20, 2026.