Larissa Emily Kibort, CADC

NPI #1053042242 in Dana Point, California

Provider Information

NPI Number: 1053042242
Entity Type: Individual
Name: Larissa Emily Kibort, CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 34185 VIOLET LANTERN ST UNIT 103
City: Dana Point
State: California
ZIP Code: 92629-2508
Phone: (949) 356-7952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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