person
Bervick Deculus
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1790087435

Bervick Deculus is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Bervick Deculus practices in Los Angeles, CA. The NPI Number for Bervick Deculus is 1790087435 and holds a License No. (California).

The current practice location address for Bervick Deculus is 3210 W Jefferson Blvd, Los Angeles, CA and can be reached out via phone at 323-731-4981 and via fax at 323-731-4958.

Location: 3210 W Jefferson Blvd, Los Angeles, CA, 90018-3230
person
Provider Profile Details
NPI Number
1790087435
Provider Name
Bervick Deculus
Credential
Provider Entity Type
Individual
Gender
Male
Address
3210 W Jefferson Blvd, Los Angeles, CA, 90018-3230
Phone Number
323-731-4981
Fax Number
323-731-4958
Provider Enumeration Date
12/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3210 W Jefferson Blvd
City
State
Zip
90018-3230
Phone Number
323-731-4981
Fax Number
323-731-4958
person
Provider Business Mailing Address Details
Address
3210 W Jefferson Blvd
City
State
Zip
90018-3230
Phone Number
323-731-4981
Fax Number
323-731-4958
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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