Individual
MS. ANA LESLY TAVIRA-NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 S. WILMINGTON AVE., BLDG #18 SUITE 101, LOS ANGELES, CA 90059
(424) 454-6001
(323) 722-4450
Mailing address
4139 PARAMOUNT BLVD, SPACE 19, PICO RIVERA, CA 90660
(323) 722-4529
(323) 722-4450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2019
Last updated
02/26/2025
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