person
Stephisha Walton
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1285984195

Stephisha Walton is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Stephisha Walton practices in Los Angeles, CA. The NPI Number for Stephisha Walton is 1285984195 and holds a License No. (California).

The current practice location address for Stephisha Walton is 4715 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-988-3744.

Location: 4715 Crenshaw Blvd, Los Angeles, CA, 90043-1233
person
Provider Profile Details
NPI Number
1285984195
Provider Name
Stephisha Walton
Credential
Provider Entity Type
Individual
Gender
Female
Address
4715 Crenshaw Blvd, Los Angeles, CA, 90043-1233
Phone Number
323-988-3744
Fax Number
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7336 05 CA
institution
Provider Business Practice Location Address Details
Address
4715 Crenshaw Blvd
City
State
Zip
90043-1233
Phone Number
323-988-3744
Fax Number
person
Provider Business Mailing Address Details
Address
4715 Crenshaw Blvd
City
State
Zip
90043-1233
Phone Number
323-988-3744
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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