Individual
AYODELE TRACY SHITTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC I
Contact information
Practice address
16314 CORNUTA AVE, BELLFLOWER, CA 90706-4814
(562) 461-9272
Mailing address
16314 CORNUTA AVE, BELLFLOWER, CA 90706-4814
(562) 461-9272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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