Individual
ADI JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCAP, CADC
Contact information
Practice address
4144 KENWAY AVE, VIEW PARK, CA 90008-4810
(310) 488-3978
Mailing address
4144 KENWAY AVE, VIEW PARK, CA 90008-4810
(888) 557-7217
(888) 739-6925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1206182052
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191199AP
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCI11210418
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
CA
Other
Enumeration date
01/19/2012
Last updated
02/06/2024
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