Individual provider · Type 1 NPI

Micheliah Island

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

NPI number 1407008311 Active

Practice location

3761 Stocker St
Los Angeles, CA 90008-5111

Call (323) 294-4261 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 1407008311

Micheliah Island's National Provider Identifier is 1407008311, issued on Oct 22, 2008. 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 22, 2008.