Individual
ADAM BRIAN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(310) 204-5200
Mailing address
2560 VETERAN AVE, LOS ANGELES, CA 90064-3233
(818) 971-9251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1377840220
CA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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