Individual provider · Type 1 NPI

Michael Luis Bennett

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

NPI number 1376730333 Active

Practice location

3421 E Olympic Blvd
Los Angeles, CA 90023-3030

Call (323) 262-1786 Map

Fax (323) 262-2659

Mailing address

3311 Carlyle St
Los Angeles, CA 90065-2840

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 1376730333

Michael Luis Bennett's National Provider Identifier is 1376730333, issued on Oct 3, 2007. 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 Oct 12, 2017.