Individual
DEBORAH ANNE AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WILSHIRE BLVD FL 5, LOS ANGELES, CA 90057-4303
(213) 639-0351
Mailing address
19821 FALCON CREST CT, PORTER RANCH, CA 91326-4037
(818) 518-5882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196856000
—
CA
05
—
CMM70956F
—
CA
Enumeration date
03/09/2009
Last updated
08/11/2014
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