person
Mr. Lolis C Tackwood
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1457687212

Lolis C Tackwood is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Lolis C Tackwood practices in Los Angeles, CA. The NPI Number for Lolis C Tackwood is 1457687212 and holds a License No. (California).

The current practice location address for Lolis C Tackwood is 2500 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-487-9800 and via fax at 213-487-9801.

Location: 2500 Wilshire Blvd, Los Angeles, CA, 90057-4303
person
Provider Profile Details
NPI Number
1457687212
Provider Name
Lolis C Tackwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 Wilshire Blvd, Los Angeles, CA, 90057-4303
Phone Number
213-487-9800
Fax Number
213-487-9801
Provider Enumeration Date
10/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 Wilshire Blvd
City
State
Zip
90057-4303
Phone Number
213-487-9800
Fax Number
213-487-9801
person
Provider Business Mailing Address Details
Address
2500 Wilshire Blvd
City
State
Zip
90057-4303
Phone Number
213-487-9800
Fax Number
213-487-9801
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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