Individual provider · Type 1 NPI

William Edward Flannery, SUDCC

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1174294060 Active

Practice location

905 Pico Blvd
Santa Monica, CA 90405-1326

Fax (310) 450-2024

Mailing address

11975 Texas Ave Apt 302
Los Angeles, CA 90025-7705

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11915 (CA)

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

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About NPI 1174294060

William Edward Flannery, SUDCC's National Provider Identifier is 1174294060, issued on Sep 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 21, 2021.