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Ieti Leaea
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1750835898

Ieti Leaea is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Ieti Leaea practices in Los Angeles, CA. The NPI Number for Ieti Leaea is 1750835898 and holds a License No. A09310315 (California).

The current practice location address for Ieti Leaea is 5318 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-293-6291 and via fax at 323-293-1091.

Location: 5318 Crenshaw Blvd, Los Angeles, CA, 90043-1810
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Provider Profile Details
NPI Number
1750835898
Provider Name
Ieti Leaea
Credential
Provider Entity Type
Individual
Gender
Male
Address
5318 Crenshaw Blvd, Los Angeles, CA, 90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
Provider Enumeration Date
08/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A09310315 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
5318 Crenshaw Blvd
City
State
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
person
Provider Business Mailing Address Details
Address
5318 Crenshaw Blvd
City
State
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A09310315 (California)
Definition
Definition to come...
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