KIM LEO SYLVEST

LOS ANGELES, CA
NPI1205693454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15744)
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
Mr. KIM LEO SYLVEST SUDCC
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6298
Mailing Address
Mr. KIM LEO SYLVEST SUDCC
12241 ARROWHEAD ST APT 46
STANTON, CA 90680-3868
Phone number: 630-780-9264