Individual
ETHAN J HOVEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Mailing address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161388
OH
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
12/19/2022
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