Justin Mowbray
Counselor, Addiction (Substance Use Disorder) in North Hollywood, CA. Individual provider (NPI-1).
NPI number1164047254
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1164047254
- Entity type
- Individual (NPI-1)
- Name
- Justin Mowbray
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
11027 Burbank BlvdNorth Hollywood, CA 91601-2431
Phone 818-985-8323
Mailing address
11027 Burbank BlvdNorth Hollywood, CA 91601-2431
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