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Larry Soderstrom
Addiction (Substance Use Disorder) Counselor in Oxnard, California
NPI 1851580179

Larry Soderstrom is an Addiction (Substance Use Disorder) Counselor based in Canoga Park, CA and is specialized in Addiction (Substance Use Disorder). Larry Soderstrom practices in Oxnard, CA. The NPI Number for Larry Soderstrom is 1851580179 and holds a License No. (California).

The current practice location address for Larry Soderstrom is 2055 Saviers Rd., #10, Oxnard, CA and can be reached out via phone at 805-483-2253 and via fax at 805-483-2255.

Location: 2055 Saviers Rd., #10, Oxnard, CA, 91303-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851580179
Provider Name
Larry Soderstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
2055 Saviers Rd., #10, Oxnard, CA, 91303-1531
Phone Number
805-483-2253
Fax Number
805-483-2255
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2055 Saviers Rd., #10
City
Oxnard
State
California
Zip
93033
Phone Number
805-483-2253
Fax Number
805-483-2255
person
Provider Business Mailing Address Details
Address
2055 Saviers Rd., #10
City
Oxnard
State
California
Zip
93033
Phone Number
805-483-2253
Fax Number
805-483-2255
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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