Individual
ELLEN DAVIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S KINGSLEY DR APT 211, LOS ANGELES, CA 90020-3222
(323) 474-7434
Mailing address
400 S KINGSLEY DR APT 211, LOS ANGELES, CA 90020-3222
(323) 474-7434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RT1518650226
CA
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
03/19/2026
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