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Lori Botham
Addiction (Substance Use Disorder) Counselor in Anaheim, California
NPI 1912450925

Lori Botham is an Addiction (Substance Use Disorder) Counselor based in Anaheim, CA and is specialized in Addiction (Substance Use Disorder). Lori Botham practices in Anaheim, CA. The NPI Number for Lori Botham is 1912450925 and holds a License No. (California).

The current practice location address for Lori Botham is 1700 W Cerritos Ave Unit 102, Anaheim, CA and can be reached out via phone at 714-992-4770.

Location: 1700 W Cerritos Ave Unit 102, Anaheim, CA, 92804-6176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912450925
Provider Name
Lori Botham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 W Cerritos Ave Unit 102, Anaheim, CA, 92804-6176
Phone Number
714-992-4770
Fax Number
Provider Enumeration Date
07/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 W Cerritos Ave Unit 102
City
Anaheim
State
California
Zip
92804-6176
Phone Number
714-992-4770
Fax Number
person
Provider Business Mailing Address Details
Address
1700 W Cerritos Ave Unit 102
City
Anaheim
State
California
Zip
92804-6176
Phone Number
714-992-4770
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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