Individual
ALEKSANDR VARDANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15015 OXNARD ST, VAN NUYS, CA 91411-2613
(818) 787-4151
(818) 787-2840
Mailing address
15015 OXNARD ST, VAN NUYS, CA 91411-2613
(818) 787-4151
(818) 787-2840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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