Carly Elizabeth Decerce, RAD-T Level I
Counselor, Addiction (Substance Use Disorder) in Santa Monica, CA. Individual provider (NPI-1).
NPI number1003662818
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1003662818
- Entity type
- Individual (NPI-1)
- Name
- Miss Carly Elizabeth Decerce
- Credential
- RAD-T Level I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1002 Pico BlvdSanta Monica, CA 90405-1416
Phone 310-848-7132
Mailing address
909 Pico BlvdSanta Monica, CA 90405-1326
Phone 310-848-7132
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