Individual
CASEY NICOLE VONDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Mailing address
14272 HOOVER ST TRLR 27, WESTMINSTER, CA 92683-4319
(714) 864-2142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9355-R
CA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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