Individual provider · Type 1 NPI

Theodore L. Ycoy

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

NPI number 1285958330 Active

Practice location

3210 W Jefferson Blvd
Los Angeles, CA 90018-3230

Mailing address

6076 Linden Ave
Long Beach, CA 90805-3003

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 1285958330

Theodore L. Ycoy's National Provider Identifier is 1285958330, issued on Mar 18, 2010. 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 18, 2010.