Individual provider · Type 1 NPI

Michael Stanislavsky, RADT

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

NPI number 1730740895 Active

Practice location

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

Call (323) 965-1365 Map

Fax (323) 965-0444

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1333430119 (CA)

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

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About NPI 1730740895

Michael Stanislavsky, RADT's National Provider Identifier is 1730740895, issued on Jun 27, 2019. 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 Jun 27, 2019.