Individual
MS. ELISHA LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
195 W GLADSTONE ST APT 4, AZUSA, CA 91702-4435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
01/14/2008
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