Individual provider · Type 1 NPI

Lakasha Deshun Moore

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

NPI number 1659007938 Active

Practice location

12021 Wilmington Ave Ste 300
Los Angeles, CA 90059-3019

Call (805) 998-0711 Map

Mailing address

15405 Lansdowne Rd
Tustin, CA 92782-0200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15746 (CA)

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

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About NPI 1659007938

Lakasha Deshun Moore's National Provider Identifier is 1659007938, issued on Jul 28, 2022. 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 1, 2025.