SERGEI SHUPLETSOV

VAN NUYS, CA
NPI1609013911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-01-09
Last Update Date2009-01-09
Business Address
Mr. SERGEI SHUPLETSOV
15015 OXNARD ST
VAN NUYS, CA 91411-2613
Phone number: 818-787-4151
Mailing Address
Mr. SERGEI SHUPLETSOV
222 N LAKE ST
LOS ANGELES, CA 90026-4892
Phone number: 818-787-4151
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