MEDICARE: HOUSING COALITION EDUCATORS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578812319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSING COALITION EDUCATORS

Provider Business Mailing Address
First Line	:	1051 LEIGHTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-1611
Country	:	US
Telephone Number	:	323-373-9756
Fax Number	:	323-373-9882

Provider Business Practice Location Address
First Line	:	1051 LEIGHTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-1611
Country	:	US
Telephone Number	:	323-373-9756
Fax Number	:	323-373-9882

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	IRIS FAY WARREN
Credential	:
Telephone Number	:	323-252-5746

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	09/07/2012

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Directions to “HOUSING COALITION EDUCATORS ” Practice Location

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