Individual provider · Type 1 NPI

Sergei Shupletsov

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1609013911 Active

Practice location

15015 Oxnard St
Van Nuys, CA 91411-2613

Call (818) 787-4151 Map

Fax (818) 787-2840

Mailing address

222 N Lake St
Los Angeles, CA 90026-4892

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 1609013911

Sergei Shupletsov's National Provider Identifier is 1609013911, issued on Jan 9, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Jan 9, 2009.