Individual provider · Type 1 NPI

Charisse Marie Caruth-Iacono, LAADC

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

NPI number 1679946479 Active

Practice location

1625 Schrader Blvd
Los Angeles, CA 90028-6213

Call (213) 466-5042 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XRALR8960418 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-21587 (NC)

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

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About NPI 1679946479

Charisse Marie Caruth-Iacono, LAADC's National Provider Identifier is 1679946479, issued on Nov 3, 2015. 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 30, 2020.