Individual
ALEX DAVID NIEDRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 S M ST, LOMPOC, CA 93436-6620
(805) 736-0357
(866) 543-5841
Mailing address
113 S M ST, LOMPOC, CA 93436-6620
(805) 736-0357
(866) 543-5841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14895
CA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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