Delores Ice
NPI #1053508739 in Lawndale, California
Provider Information
- NPI Number
- 1053508739
- Entity Type
- Individual
- Name
- Delores Ice
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Sep 26, 2007
Practice Location
- Address
- 4023 MARINE AVE
- City
- Lawndale
- State
- California
- ZIP Code
- 90260-1840
- Phone
- (310) 675-9555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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