Individual provider · Type 1 NPI

Latara Tashai' Buck

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

NPI number 1790414712 Active

Practice location

12021 Wilmington Ave Ste 300
Los Angeles, CA 90059-3019

Call (424) 454-6020 Map

Mailing address

1000 N Alameda St Ste 390
Los Angeles, CA 90012-1804

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist 225800000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17788 (CA)

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

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About NPI 1790414712

Latara Tashai' Buck's National Provider Identifier is 1790414712, issued on Jun 6, 2022. 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 24, 2024.