person
Audra Nicole Kourosmehr
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1700570363

Audra Nicole Kourosmehr is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Audra Nicole Kourosmehr practices in Riverside, CA. The NPI Number for Audra Nicole Kourosmehr is 1700570363 and holds a License No. (California).

The current practice location address for Audra Nicole Kourosmehr is 4750 Palm Ave, Riverside, CA and can be reached out via phone at 951-686-0021 and via fax at 951-686-0026.

Location: 4750 Palm Ave, Riverside, CA, 92501-2538
person
Provider Profile Details
NPI Number
1700570363
Provider Name
Audra Nicole Kourosmehr
Credential
Provider Entity Type
Individual
Gender
Female
Address
4750 Palm Ave, Riverside, CA, 92501-2538
Phone Number
951-686-0021
Fax Number
951-686-0026
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4750 Palm Ave
City
State
Zip
92501-4012
Phone Number
951-686-0021
Fax Number
951-686-0026
person
Provider Business Mailing Address Details
Address
4750 Palm Ave
City
State
Zip
92501-4012
Phone Number
951-686-0021
Fax Number
951-686-0026
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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