DANIEL JL INGERSOLL

LOS ANGELES, CA
NPI1154023497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11533)
Enumeration Date2023-03-20
Last Update Date2024-04-23
Business Address
DANIEL JL INGERSOLL SUDCC
2201 PARNELL AVE
LOS ANGELES, CA 90064-2004
Phone number: 310-560-3794
Mailing Address
DANIEL JL INGERSOLL SUDCC
PO BOX 491542
LOS ANGELES, CA 90049-9542
Phone number: 862-596-3875
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