Individual
MS. ALICIA VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 120TH STREET, LOS ANGELES, CA 90061
(760) 905-3009
Mailing address
245 E 120TH STREET, LOS ANGELES, CA 90061
(760) 905-3009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAS-12041
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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