Individual
MISS CARLY ELIZABETH DECERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAD-T LEVEL I
Contact information
Practice address
1002 PICO BLVD, SANTA MONICA, CA 90405-1416
(310) 848-7132
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 848-7132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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