Individual
ABDUL ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3209 N ALAMEDA ST STE B, COMPTON, CA 90222-1455
(310) 537-2273
(310) 537-2139
Mailing address
3209 N ALAMEDA ST STE B, COMPTON, CA 90222-1455
(310) 537-2273
(310) 537-2139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0510111352
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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