person
Mr. Stanislav Modin
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1093985384

Stanislav Modin is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Stanislav Modin practices in Los Angeles, CA. The NPI Number for Stanislav Modin is 1093985384 and holds a License No. (California).

The current practice location address for Stanislav Modin is 1318 N Orange Dr Apt 303, Los Angeles, CA and can be reached out via phone at 323-962-4493.

Location: 1318 N Orange Dr Apt 303, Los Angeles, CA, 90028-7571
person
Provider Profile Details
NPI Number
1093985384
Provider Name
Stanislav Modin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1318 N Orange Dr Apt 303, Los Angeles, CA, 90028-7571
Phone Number
323-962-4493
Fax Number
Provider Enumeration Date
03/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1318 N Orange Dr Apt 303
City
State
Zip
90028-7571
Phone Number
323-962-4493
Fax Number
person
Provider Business Mailing Address Details
Address
1318 N Orange Dr Apt 303
City
State
Zip
90028-7571
Phone Number
323-962-4493
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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