Provider Demographics
NPI:1891236790
Name:GRESLER, MONIKA (CADC II)
Entity Type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:
Last Name:GRESLER
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 WILSHIRE BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5679
Mailing Address - Country:US
Mailing Address - Phone:213-570-3101
Mailing Address - Fax:
Practice Address - Street 1:600 E 7TH ST
Practice Address - Street 2:STE 105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90021-1436
Practice Address - Country:US
Practice Address - Phone:213-537-0110
Practice Address - Fax:213-537-0880
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10551-R101YA0400X
CAA060430921101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)