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Individual

STEPHANIE WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(323) 298-3680
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(323) 298-3680

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
13880
CA

Other

Enumeration date
08/14/2020
Last updated
09/30/2024
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