Individual
ALEKSEY LISITSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5311 WESTER AVE, LOS ANGELES, CA 90062
(323) 299-2111
(323) 299-2525
Mailing address
5311 WESTER AVE, LOS ANGELES, CA 90062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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