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Individual

DEXTER THRASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
Mailing address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
374700000X
Technician
Primary

Other

Enumeration date
08/16/2023
Last updated
03/05/2025
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