Leslie Jane Guinaugh Supkof in Los Angeles - Addiction (substance Use Disorder)

Leslie Jane Guinaugh Supkof - NPI 1124296280

Leslie Jane Guinaugh Supkof is a Addiction (substance Use Disorder) in Los Angeles, California. Leslie Jane Guinaugh Supkof practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Leslie Jane Guinaugh Supkof is 1124296280. The last update date is 2008-02-12.

Leslie Jane Guinaugh Supkof's current location address is 554 S San Vicente Blvd Ste 102, Los Angeles, California. You can contact this provider via phone number 3106634244. The mailing address for Leslie Jane Guinaugh Supkof is 554 S San Vicente Blvd Ste 102, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Jane Guinaugh Supkof
Address 554 S San Vicente Blvd Ste 102, Los Angeles, California
Phone Number 3106634244
Fax Number
Sole Proprietor Y
Credentials MFT

NPI Number Detail

NPI Number 1124296280
Provider Enumeration Date 2008-02-12
Last Updated Date 2008-02-12

Provider Mailing Address Detail

Address 554 S San Vicente Blvd Ste 102
City Los Angeles
State California (CA)
Post Code 900484652
Phone Number 3106634244
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No MFC 30843
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Leslie Jane Guinaugh Supkof

What is the unique 10-digit identification code issued to Leslie Jane Guinaugh Supkof by the Centers for Medicare & Medicaid Services?

The Leslie Jane Guinaugh Supkof has been assigned the NPI (National Provider Identifier) 1124296280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Leslie Jane Guinaugh Supkof?

The Leslie Jane Guinaugh Supkof is physically situated at 554 S San Vicente Blvd Ste 102, in the city of Los Angeles, state of CA, with the postal code 900484652.

What is the area of specialization for Leslie Jane Guinaugh Supkof, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Leslie Jane Guinaugh Supkof is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did Leslie Jane Guinaugh Supkof receive its 1124296280 assignment from the Centers for Medicare & Medicaid Services?

The Leslie Jane Guinaugh Supkof was assigned its 1124296280 on 2008-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Leslie Jane Guinaugh Supkof, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Leslie Jane Guinaugh Supkof, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-12.

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