Jeffrey Andersen
Counselor, Addiction (Substance Use Disorder) in San Pedro, CA. Individual provider (NPI-1).
NPI number1164071650
StatusActive
Last updated in NPPESSep 6, 2019
Details
- NPI
- 1164071650
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Andersen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2019
- Last updated
- Sep 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 92845 | CA | Yes |
Practice location
270 W 14th St # 27San Pedro, CA 90731-4396
Phone 310-519-8723
Mailing address
270 W 14th St # 270San Pedro, CA 90731-4396
Phone 310-519-8723
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All 192 Addiction (Substance Use Disorder) Counselor providers in San Pedro · All 1,477 providers in San Pedro
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