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Organization
NATIONAL COUNCILON ALCOHOLISM AND DRUG DEPENDENCE
Active
Organization
NATIONAL COUNCILON ALCOHOLISM AND DRUG DEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN EZEQUIEL FLORES (COUNSELOR)
(818) 997-0414
Entity
Organization
Contact information
Practice address
6166 VESPER AVE, VAN NUYS, CA 91411-2851
(818) 997-0414
(818) 997-0851
Mailing address
6166 VESPER AVE, VAN NUYS, CA 91411-2851
(818) 997-0414
(818) 997-0851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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