Individual
MR. ANDREW STUDENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC 1
Contact information
Practice address
6022 VARIEL AVE, WOODLAND HILLS, CA 91367-3719
(818) 996-1051
Mailing address
15003 VICTORY BLVD APT 301, VAN NUYS, CA 91411-1851
(818) 322-9729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21437
CA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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