Individual
AMY HEUANSAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
520 N LA BREA AVE, INGLEWOOD, CA 90302-3049
(323) 294-4932
Mailing address
2900 CRENSHAW BLVD, LOS ANGELES, CA 90016-4265
(323) 293-6284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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