Mr. Sergei Shupletsov
Mr. Sergei Shupletsov is an Addiction (Substance Use Disorder) Counselor in Van Nuys, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
15015 Oxnard StVan Nuys, CA 91411-2613
Phone: (818) 787-4151
Fax: (818) 787-2840
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1609013911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2009 |
| Last updated in NPPES | January 9, 2009 |
| Mailing address | 222 N Lake St, Los Angeles, CA 90026-4892 |
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