Individual
APOLLONIA MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18411 VINCENNES ST APT 29, NORTHRIDGE, CA 91325-2153
(718) 577-8219
Mailing address
18411 VINCENNES ST APT 29, NORTHRIDGE, CA 91325-2153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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