Individual
ALIZA VAYNGURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 LINDALE AVE, SIMI VALLEY, CA 93065-2721
(818) 448-8810
Mailing address
2147 LINDALE AVE, SIMI VALLEY, CA 93065-2721
(818) 448-8810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A064700724
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A064700724
CA
101YM0800X
Mental Health Counselor
A064700724
CA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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