Individual provider · Type 1 NPI

Godofredo Luis

Mental Health Counselor · Culver City, CA

NPI number 1184330136 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Mailing address

1233 S La Cienega Blvd
Los Angeles, CA 90035-2520

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184330136

Godofredo Luis's National Provider Identifier is 1184330136, issued on Jan 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Culver City, CA. The record was last updated on Jan 27, 2023.