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Irene Sandoval, CCDC
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1023292711

Irene Sandoval is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Irene Sandoval practices in Los Angeles, CA and has the professional credentials of CCDC. The NPI Number for Irene Sandoval is 1023292711 and holds a License No. (California).

The current practice location address for Irene Sandoval is 942 S Atlantic Blvd, Los Angeles, CA and can be reached out via phone at 323-263-9700 and via fax at 323-263-8042.

Location: 942 S Atlantic Blvd, Los Angeles, CA, 90022-4004
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Provider Profile Details
NPI Number
1023292711
Provider Name
Irene Sandoval
Credential
CCDC
Provider Entity Type
Individual
Gender
Female
Address
942 S Atlantic Blvd, Los Angeles, CA, 90022-4004
Phone Number
323-263-9700
Fax Number
323-263-8042
Provider Enumeration Date
12/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P041 01 CA P041
institution
Provider Business Practice Location Address Details
Address
942 S Atlantic Blvd
City
State
Zip
90022-4004
Phone Number
323-263-9700
Fax Number
323-263-8042
person
Provider Business Mailing Address Details
Address
942 S Atlantic Blvd
City
State
Zip
90022-4004
Phone Number
323-263-9700
Fax Number
323-263-8042
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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