person
Larissa Emily Kibort, CADC
Addiction (Substance Use Disorder) Counselor in Dana Point, California
NPI 1053042242

Larissa Emily Kibort is an Addiction (Substance Use Disorder) Counselor based in Laguna Hills, CA and is specialized in Addiction (Substance Use Disorder). Larissa Emily Kibort practices in Dana Point, CA and has the professional credentials of CADC. The NPI Number for Larissa Emily Kibort is 1053042242 and holds a License No. CI35830622 (California).

The current practice location address for Larissa Emily Kibort is 34185 Violet Lantern St Unit 103, Dana Point, CA and can be reached out via phone at 949-356-7952.

Location: 34185 Violet Lantern St Unit 103, Dana Point, CA, 92656-3144
person
Provider Profile Details
NPI Number
1053042242
Provider Name
Larissa Emily Kibort
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
34185 Violet Lantern St Unit 103, Dana Point, CA, 92656-3144
Phone Number
949-356-7952
Fax Number
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34185 Violet Lantern St Unit 103
City
State
Zip
92629-2508
Phone Number
949-356-7952
Fax Number
person
Provider Business Mailing Address Details
Address
34185 Violet Lantern St Unit 103
City
State
Zip
92629-2508
Phone Number
949-356-7952
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CI35830622 (California)
Definition
Definition to come...
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