Individual provider · Type 1 NPI

Jessica Vanderlan

Addiction (Substance Use Disorder) Counselor · Canoga Park, CA

NPI number 1306194477 Active

Practice location

7246 Remmet Ave
Canoga Park, CA 91303-1531

Call (818) 206-0360 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 1306194477

Jessica Vanderlan's National Provider Identifier is 1306194477, issued on Aug 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canoga Park, CA. The record was last updated on Aug 21, 2012.