Individual
BANGLAK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
Mailing address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C17541214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C17541214
CADC-CAS
CA
Enumeration date
09/14/2016
Last updated
09/14/2016
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