Individual
ALICIA BROOKE VAN OOYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1656
(310) 412-0879
(310) 412-3365
Mailing address
5146 W 138TH ST, HAWTHORNE, CA 90250-6547
(310) 412-0879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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