JAY MICHAEL SMALL

LOS ANGELES, CA
NPI1447868302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-07-16
Last Update Date2020-07-16
Business Address
JAY MICHAEL SMALL
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
Mailing Address
JAY MICHAEL SMALL
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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