Individual provider · Type 1 NPI

Serge Petrosian, CADC II

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1124391669 Active

Practice location

5930 S Main St, Suite 104
Los Angeles, CA 90003-1201

Call (818) 551-0026 Map

Mailing address

619 E Elmwood Ave, Apt. O
Burbank, CA 91501-2587

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA7121111 (CA)

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

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About NPI 1124391669

Serge Petrosian, CADC II's National Provider Identifier is 1124391669, issued on Feb 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 14, 2012.