Individual provider · Type 1 NPI
Lydia Quintanills, R1237331116
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1609300508
Active
Practice location
3756 Santa Rosalia Dr Suite 617
Los Angeles, CA 90008
Mailing address
8414 12 San Vincente
Los Angeles, CA 90250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1237331116 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609300508
Lydia Quintanills, R1237331116's National Provider Identifier is 1609300508, issued on Apr 18, 2017. 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 Apr 18, 2017.