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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA09310315 (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.