Individual provider · Type 1 NPI

Shadi Shojue Rastegar, RADT

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1144094806 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1531131023 (CA)

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

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About NPI 1144094806

Shadi Shojue Rastegar, RADT's National Provider Identifier is 1144094806, issued on Nov 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Nov 13, 2023.