Lesvy Jackeline Granillo
NPI #1871786038 in La Mirada, California
Provider Information
- NPI Number
- 1871786038
- Entity Type
- Individual
- Name
- Lesvy Jackeline Granillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Oct 8, 2014
Practice Location
- Address
- 14240 EAST IMPERIAL HWY
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-8123
- Phone
- (562) 946-1587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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