Individual provider · Type 1 NPI
Videth Ok
Addiction (Substance Use Disorder) Counselor · Long Beach, CA
NPI number
1336562545
Active
Practice location
1900 Atlantic Ave
Long Beach, CA 90806-5502
Fax (562) 200-8790
Mailing address
1088 S La Brea Ave
Los Angeles, CA 90019-6905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336562545
Videth Ok's National Provider Identifier is 1336562545, issued on Jan 23, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jan 23, 2014.