Individual provider · Type 1 NPI

Andrew Martin Proctor

Addiction (Substance Use Disorder) Counselor · Lake View Terrace, CA

NPI number 1497905541 Active

Practice location

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

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 1497905541

Andrew Martin Proctor's National Provider Identifier is 1497905541, issued on Sep 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake View Terrace, CA. The record was last updated on Jan 27, 2009.