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Andrew Glenn Ionatuivaiti, CADC-1
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1285195545

Andrew Glenn Ionatuivaiti is an Addiction (Substance Use Disorder) Counselor based in Santa Monica, CA and is specialized in Addiction (Substance Use Disorder). Andrew Glenn Ionatuivaiti practices in Santa Monica, CA and has the professional credentials of CADC-1. The NPI Number for Andrew Glenn Ionatuivaiti is 1285195545 and holds a License No. R1335360119 (California).

The current practice location address for Andrew Glenn Ionatuivaiti is 909 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200 and via fax at 310-399-5080.

Location: 909 Pico Blvd, Santa Monica, CA, 90405-1326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285195545
Provider Name
Andrew Glenn Ionatuivaiti
Credential
CADC-1
Provider Entity Type
Individual
Gender
Male
Address
909 Pico Blvd, Santa Monica, CA, 90405-1326
Phone Number
310-314-6200
Fax Number
310-399-5080
Provider Enumeration Date
03/28/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
R1335360119 05 CA
institution
Provider Business Practice Location Address Details
Address
909 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
310-399-5080
person
Provider Business Mailing Address Details
Address
909 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
310-399-5080
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1335360119 (California)
Definition
Definition to come...
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