Individual provider · Type 1 NPI

Jeff Holloway

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1598073165 Active

Practice location

15015 Oxnard St
Van Nuys, CA 91411-2613

Call (818) 787-4151 Map

Fax (818) 787-2840

Mailing address

3221 Vineland Ave Apt 45
Baldwin Park, CA 91706-5163

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 1598073165

Jeff Holloway's National Provider Identifier is 1598073165, issued on Sep 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Sep 16, 2010.