Individual provider · Type 1 NPI

Jack Taglyan

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

NPI number 1285191973 Active

Practice location

5322 Fountain Ave
Los Angeles, CA 90029-1005

Call (323) 251-4490 Map

Mailing address

5240 Los Diegos Way
Los Angeles, CA 90027-1016

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 1285191973

Jack Taglyan's National Provider Identifier is 1285191973, issued on Feb 28, 2019. 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 28, 2019.