Individual
AUDREY TISCARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 W 6TH ST, LOS ANGELES, CA 90017-1828
(213) 250-1005
Mailing address
1137 W 6TH ST, LOS ANGELES, CA 90017-1828
(213) 250-1005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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