Individual provider · Type 1 NPI

Derek Anthony Tywoniuk, RADT

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

NPI number 1144893611 Active

Practice location

8739 Santa Monica Blvd
West Hollywood, CA 90069-4507

Call (310) 623-1477 Map

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 1144893611

Derek Anthony Tywoniuk, RADT's National Provider Identifier is 1144893611, issued on Jul 21, 2021. 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 Jul 22, 2021.