Individual
CARLOS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 W MANCHESTER AVE STE 105, LOS ANGELES, CA 90047-3056
(323) 759-6224
Mailing address
1112 WEST 112TH ST., LOS ANGELES, CA 90044
(323) 686-4578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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