Individual provider · Type 1 NPI

Jack Victor Souadjian Jr., CAODC 8760

Addiction (Substance Use Disorder) Counselor · Stanton, CA

NPI number 1336706332 Active

Practice location

10936 Dale Ave
Stanton, CA 90680-2724

Call (714) 952-4032 Map

Fax (714) 952-4075

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8760 (CA)

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

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About NPI 1336706332

Jack Victor Souadjian Jr., CAODC 8760's National Provider Identifier is 1336706332, issued on May 24, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stanton, CA. The record was last updated on May 24, 2019.