| Antawny Jefferson, RADT | |
|
18646 Oxnard St, Tarzana, CA 91356-1411 | |
| (818) 996-1051 | |
| (818) 345-7653 |
| Full Name | Antawny Jefferson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 18646 Oxnard St, Tarzana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851958045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1345480419 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Antawny Jefferson, RADT 18646 Oxnard St, Tarzana, CA 91356-1411 Ph: (818) 996-1051 | Antawny Jefferson, RADT 18646 Oxnard St, Tarzana, CA 91356-1411 Ph: (818) 996-1051 |
Kristen Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 Fax: 818-345-3778 | |
Monica E Juarez, MS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 5255 Etiwanda Ave., Suite 212, Tarzana, CA 91356 Phone: 818-201-9741 Fax: 818-708-5455 | |
Nicole Marian Johnstone, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3950 | |
Gregory Paul Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Sara Andrea Vides, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Miss Shannon Mehdian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 310-422-8991 | |
Alene Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 |