Individual
CARRY JOE VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AOD COUNSELOR
Contact information
Practice address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 388-5423
Mailing address
155 BIMINI PL, LOS ANGELES, CA 90004-5902
(213) 388-5423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
02/06/2023
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