Individual
CAROL CHILAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 W ROSECRANS AVE, W ROSECRANS AVE #40, GARDENA, CA 90247-2426
(310) 228-8187
Mailing address
1321 W ROSECRANS AVE, W ROSECRANS AVE #40, GARDENA, CA 90247-2426
(310) 228-8187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
122956
CA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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