Individual provider · Type 1 NPI
Judy Eileen Shafer
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1376487694
Active
Practice location
11150 W Olympic Blvd Ste 760
Los Angeles, CA 90064-1855
Mailing address
6416 Fountain Ave Apt 1
Los Angeles, CA 90028-8103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A049130218 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376487694
Judy Eileen Shafer's National Provider Identifier is 1376487694, issued on Apr 16, 2026. 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 16, 2026.