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General NPI Number Information
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NPI Number | 1891236790
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Entity Type | Individual
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Provider Name | MONIKA GRESLER CADC II
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 600 E 7TH ST STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90021-1436
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Country | US
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Telephone | 213-537-0110
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Fax | 213-537-0880
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Provider Business Mailing Address
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Address Line | 1821 WILSHIRE BLVD STE 410
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City | SANTA MONICA
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State | CA
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Zip | 90403-5679
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Country | US
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Telephone | 213-570-3101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10551-R
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A060430921
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License Number State | CA
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