Individual
CANDACE Y GOUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11905 S CENTRAL AVE, SUITE 205, LOS ANGELES, CA 90059-2836
(323) 249-9026
(323) 249-8367
Mailing address
900 S BEACH BLVD, #126, ANAHEIM, CA 92804-3936
(323) 528-0965
(323) 249-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAS#4488
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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