person
Jonathan Iddamalgoda
Addiction (Substance Use Disorder) Counselor in Woodland Hills, California
NPI 1609641794

Jonathan Iddamalgoda is an Addiction (Substance Use Disorder) Counselor based in Woodland Hills, CA and is specialized in Addiction (Substance Use Disorder). Jonathan Iddamalgoda practices in Woodland Hills, CA. The NPI Number for Jonathan Iddamalgoda is 1609641794 and holds a License No. 96000115 (California).

The current practice location address for Jonathan Iddamalgoda is 6022 Variel Ave, Woodland Hills, CA and can be reached out via phone at 818-996-1051.

Location: 6022 Variel Ave, Woodland Hills, CA, 91367-3719
person
Provider Profile Details
NPI Number
1609641794
Provider Name
Jonathan Iddamalgoda
Credential
Provider Entity Type
Individual
Gender
Male
Address
6022 Variel Ave, Woodland Hills, CA, 91367-3719
Phone Number
818-996-1051
Fax Number
Provider Enumeration Date
11/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6022 Variel Ave
City
State
Zip
91367-3719
Phone Number
818-996-1051
Fax Number
person
Provider Business Mailing Address Details
Address
6022 Variel Ave
City
State
Zip
91367-3719
Phone Number
818-996-1051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
96000115 (California)
Definition
Definition to come...
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