Individual provider · Type 1 NPI

Gavin Ulric Anderson

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

NPI number 1245046291 Active

Practice location

2521 Long Beach Ave
Los Angeles, CA 90058-1324

Call (760) 905-8063 Map

Mailing address

786 Miraflores
San Pedro, CA 90731-1460

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1568440724 (CA)

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

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About NPI 1245046291

Gavin Ulric Anderson's National Provider Identifier is 1245046291, issued on Dec 4, 2024. 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 Dec 4, 2024.