Individual provider · Type 1 NPI

Jacqueline Deppisch, BA

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

NPI number 1659986032 Active

Practice location

11900 Avalon Blvd
Los Angeles, CA 90061-2866

Call (323) 242-0500 Map

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 1659986032

Jacqueline Deppisch, BA's National Provider Identifier is 1659986032, issued on Sep 11, 2020. 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 Sep 11, 2020.