DEPARTMENT OF HEALTH AND HOSPITALS

Addiction Medicine (Family Medicine) Physician

NPI: 1306800289Organization

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

LAC 592(LA)LAC # 904(LA)LAC #713(LA)RAC #1340(LA)CAC #1330(LA)

Social Worker — Clinical

Code: 1041C0700X

RSW # 7478(LA)LMSW #4870(LA)

Registered Nurse — Addiction (Substance Use Disorder)

Code: 163WA0400X

RN #055444(LA)

Code: 164W00000X

LPN # 850513(LA)

Family Medicine — Addiction Medicine

Code: 207QA0401X

MD 017125(LA)

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