LOGAN PARRISH LOPEZ

LOS ANGELES, CA
NPI1427736255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-11
Last Update Date2023-07-11
Business Address
LOGAN PARRISH LOPEZ
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
Mailing Address
LOGAN PARRISH LOPEZ
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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