Individual provider · Type 1 NPI
Lillian Denise Mancilla-Ortiz, RAS
Addiction (Substance Use Disorder) Counselor · Lake View Terrace, CA
NPI number
1417132010
Active
Practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Fax (818) 896-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417132010
Lillian Denise Mancilla-Ortiz, RAS's National Provider Identifier is 1417132010, issued on Jan 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake View Terrace, CA. The record was last updated on Jan 2, 2008.