person
Elijah Faggins
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1659571735

Elijah Faggins is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Elijah Faggins practices in Los Angeles, CA. The NPI Number for Elijah Faggins is 1659571735 and holds a License No. (California).

The current practice location address for Elijah Faggins is 5310 S Hoover St, Los Angeles, CA and can be reached out via phone at 310-916-3532.

Location: 5310 S Hoover St, Los Angeles, CA, 90037-3734
person
Provider Profile Details
NPI Number
1659571735
Provider Name
Elijah Faggins
Credential
Provider Entity Type
Individual
Gender
Male
Address
5310 S Hoover St, Los Angeles, CA, 90037-3734
Phone Number
310-916-3532
Fax Number
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5698 01 CA CAS
institution
Provider Business Practice Location Address Details
Address
5310 S Hoover St
City
State
Zip
90037-3734
Phone Number
310-916-3532
Fax Number
person
Provider Business Mailing Address Details
Address
5310 S Hoover St
City
State
Zip
90037-3734
Phone Number
310-916-3532
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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