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Individual

MR. ANDRE JULIAN DUHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19231 VICTORY BLVD, RESEDA, CA 91335-6308
(818) 776-1755
Mailing address
19231 VICTORY BLVD, RESEDA, CA 91335-6308
(818) 776-1755

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19685600
CA
05
CMM70956F
CA
Enumeration date
04/28/2009
Last updated
04/28/2009
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