Individual
AMANDA LAFFERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 388-5423
Mailing address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 388-5423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1392740620
CA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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