Individual provider · Type 1 NPI

Alexandra Kettner Victor

Addiction (Substance Use Disorder) Counselor · West Hollywood, CA

NPI number 1033769674 Active

Practice location

8739 Santa Monica Blvd
West Hollywood, CA 90069-4507

Call (310) 623-1477 Map

Fax (310) 854-0134

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033769674

Alexandra Kettner Victor's National Provider Identifier is 1033769674, issued on Sep 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Hollywood, CA. The record was last updated on Sep 16, 2019.