Individual
ANDREA ARNOLD A SQUIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 2ND ST STE 120B, SANTA MONICA, CA 90403-5011
(310) 968-2560
Mailing address
549 CANON VIEW TRL, TOPANGA, CA 90290-3802
(310) 968-2560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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