Individual
JOANN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(626) 293-6291
Mailing address
1111 BENITO AVE APT D, ALHAMBRA, CA 91803-2015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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