Individual provider · Type 1 NPI

Jay Michael Small

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

NPI number 1447868302 Active

Practice location

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

Call (323) 965-1365 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 1447868302

Jay Michael Small's National Provider Identifier is 1447868302, issued on Jul 16, 2020. 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 Jul 16, 2020.