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Individual

ASHTON GENE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140
Mailing address
1302 LYNDON ST APT 6, SOUTH PASADENA, CA 91030-3758
(310) 774-6793

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/19/2021
Last updated
05/19/2021
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