| National Councilon Alcoholism And Drug Dependence | |
|
6166 Vesper Ave Van Nuys CA 91411-2851 | |
| (818) 997-0414 | |
| (818) 997-0851 |
| Full Name | National Councilon Alcoholism And Drug Dependence |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6166 Vesper Ave, Van Nuys, California |
| Authorized Official Name and Position | Allan Ezequiel Flores (COUNSELOR) |
| Authorized Official Contact | 8189970414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Councilon Alcoholism And Drug Dependence 6166 Vesper Ave Van Nuys CA 91411-2851 Ph: (818) 997-0414 | National Councilon Alcoholism And Drug Dependence 6166 Vesper Ave Van Nuys CA 91411-2851 Ph: (818) 997-0414 |
| NPI Number | 1962975789 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962975789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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