Individual
COURTNEY SYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L9695
Contact information
Practice address
61 LAKEWOOD CENTER MALL # 36, LAKEWOOD, CA 90712-2417
(626) 714-9608
(562) 337-3119
Mailing address
61 LAKEWOOD CENTER MALL # 36, LAKEWOOD, CA 90712-2417
(626) 714-9608
(562) 337-3119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174400000X
Specialist
Primary
L9695
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/05/2019
Last updated
08/04/2023
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