Individual
ANDREW JACOB PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(323) 965-1365
Mailing address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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