Individual
MR. LOUIS SCOTT ADDLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS, LEP3400
Contact information
Practice address
7915 ALIDA ST, LA MESA, CA 91942-2541
(619) 708-1380
Mailing address
7915 ALIDA ST, LA MESA, CA 91942-2541
(619) 708-1380
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3400
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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