Individual
MR. BEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(310) 204-5200
Mailing address
828 LINCOLN BLVD APT 9, SANTA MONICA, CA 90403-1587
(310) 623-2961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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