Individual provider · Type 1 NPI

Lolis C. Tackwood

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

NPI number 1457687212 Active

Practice location

2500 Wilshire Blvd, 922
Los Angeles, CA 90057-4303

Call (213) 487-9800 Map

Fax (213) 487-9801

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 1457687212

Lolis C. Tackwood's National Provider Identifier is 1457687212, issued on Oct 28, 2009. 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 28, 2009.