person
Renise Le Blanc
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1255519369

Renise Le Blanc is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Renise Le Blanc practices in Los Angeles, CA. The NPI Number for Renise Le Blanc is 1255519369 and holds a License No. (California).

The current practice location address for Renise Le Blanc is 1704 W Manchester Ave Ste 103, Los Angeles, CA and can be reached out via phone at 323-751-4778.

Location: 1704 W Manchester Ave Ste 103, Los Angeles, CA, 90047-3056
person
Provider Profile Details
NPI Number
1255519369
Provider Name
Renise Le Blanc
Credential
Provider Entity Type
Individual
Gender
Female
Address
1704 W Manchester Ave Ste 103, Los Angeles, CA, 90047-3056
Phone Number
323-751-4778
Fax Number
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4772 01 CA CARR
institution
Provider Business Practice Location Address Details
Address
1704 W Manchester Ave Ste 103
City
State
Zip
90047-3056
Phone Number
323-751-4778
Fax Number
person
Provider Business Mailing Address Details
Address
1704 W Manchester Ave Ste 103
City
State
Zip
90047-3056
Phone Number
323-751-4778
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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