Individual
ALYSSA LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
(310) 519-1309
Mailing address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
(310) 519-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1501220323
CA
171M00000X
Case Manager/Care Coordinator
R1501220323
CA
Other
Enumeration date
05/09/2023
Last updated
10/19/2023
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