Individual provider · Type 1 NPI

Selina Star Brock

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

NPI number 1497039648 Active

Practice location

942 S Atlantic Blvd
Los Angeles, CA 90022-4004

Call (323) 263-9700 Map

Fax (323) 263-8042

Mailing address

3670 Maine Ave
Baldwin Park, CA 91706-5231

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW4272 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497039648

Selina Star Brock's National Provider Identifier is 1497039648, issued on Oct 6, 2011. 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 6, 2011.