Individual provider · Type 1 NPI
Ieti Leaea
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1750835898
Active
Practice location
5318 Crenshaw Blvd
Los Angeles, CA 90043-1810
Fax (323) 293-1091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A09310315 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750835898
Ieti Leaea's National Provider Identifier is 1750835898, issued on Aug 5, 2016. 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 Aug 5, 2016.