Ebony M Maxie
Ebony M Maxie is an Addiction (Substance Use Disorder) Counselor in Hawthorne, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2501 W El Segundo BlvdHawthorne, CA 90250-3317
Phone: (323) 754-2816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1750944468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2019 |
| Last updated in NPPES | November 27, 2019 |
| Mailing address | 143 E 105th St, Los Angeles, CA 90003-4726 |
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