Individual provider · Type 1 NPI
Anthony Bodlovic
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1366600454
Active
Practice location
12420 Venice Blvd, 200
Los Angeles, CA 90066-3840
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
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 1366600454
Anthony Bodlovic's National Provider Identifier is 1366600454, issued on May 27, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 27, 2008.