Individual
ALEN TADEVOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS
Contact information
Practice address
1020 N HOLLYWOOD WAY STE 13, BURBANK, CA 91505-2525
(818) 929-5757
(818) 929-5757
Mailing address
2415 N LINCOLN ST, BURBANK, CA 91504-2628
(818) 929-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T1004070820
CA
Other
Enumeration date
06/02/2011
Last updated
03/06/2015
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