Individual provider · Type 1 NPI

Andrew Glenn Ionatuivaiti, CADC-1

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

NPI number 1285195545 Active

Practice location

909 Pico Blvd
Santa Monica, CA 90405-1326

Call (310) 314-6200 Map

Fax (310) 399-5080

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XR1335360119 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1285195545

Andrew Glenn Ionatuivaiti, CADC-1's National Provider Identifier is 1285195545, issued on Mar 28, 2019. 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 Nov 20, 2023.