Individual provider · NPI-1

Emory Aaron, CCAPP C4321214

Counselor, Addiction (Substance Use Disorder) · Los Angeles, CA

NPI number1073980801
StatusActive
Last updated in NPPESAug 21, 2019

Details

NPI
1073980801
Entity type
Individual (NPI-1)
Name
Emory Aaron
Credential
CCAPP C4321214
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 27, 2015
Last updated
Aug 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Phone 213-620-5712

Mailing address

4221 Santa Rosalia Dr Apt D
Los Angeles, CA 90008-5035

Phone 213-741-3756 · Fax 213-741-3729

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