Individual provider · Type 1 NPI

Shakela Wilson

Addiction (Substance Use Disorder) Counselor · Hollywood, CA

NPI number 1336442300 Active

Practice location

6601 De Longpre Ave
Hollywood, CA 90028

Call (818) 259-9129 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 1336442300

Shakela Wilson's National Provider Identifier is 1336442300, issued on Dec 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hollywood, CA. The record was last updated on Dec 14, 2010.