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Lesvy Jackeline Granillo
Addiction (Substance Use Disorder) Counselor in La Mirada, California
NPI 1871786038

Lesvy Jackeline Granillo is an Addiction (Substance Use Disorder) Counselor based in La Mirada, CA and is specialized in Addiction (Substance Use Disorder). Lesvy Jackeline Granillo practices in La Mirada, CA. The NPI Number for Lesvy Jackeline Granillo is 1871786038 and holds a License No. (California).

The current practice location address for Lesvy Jackeline Granillo is 14240 East Imperial Hwy, La Mirada, CA and can be reached out via phone at 562-946-1587.

Location: 14240 East Imperial Hwy, La Mirada, CA, 90638-8123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871786038
Provider Name
Lesvy Jackeline Granillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14240 East Imperial Hwy, La Mirada, CA, 90638-8123
Phone Number
562-946-1587
Fax Number
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14240 East Imperial Hwy
City
La Mirada
State
California
Zip
90638-8123
Phone Number
562-946-1587
Fax Number
person
Provider Business Mailing Address Details
Address
14240 East Imperial Hwy
City
La Mirada
State
California
Zip
90638-8123
Phone Number
562-946-1587
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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