Individual provider · Type 1 NPI

Inna Phoenix Gore

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1316273196 Active

Practice location

19231 Victory Blvd, 554
Reseda, CA 91335-6308

Call (818) 776-1755 Map

Mailing address

18930 Sherman Way, 17
Reseda, CA 91335-7738

Specialties and licenses

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

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

74 other providers at this address

Other addiction (substance use disorder) counselor providers in Reseda

See all in Reseda →

About NPI 1316273196

Inna Phoenix Gore's National Provider Identifier is 1316273196, issued on Oct 28, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Oct 28, 2009.