Individual provider · Type 1 NPI
John Dennem
Addiction (Substance Use Disorder) Counselor · Inglewood, CA
NPI number
1659775302
Active
Practice location
323 N. Praire Ave.
Inglewood, CA 90301
Fax (310) 846-2139
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A8571212 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659775302
John Dennem's National Provider Identifier is 1659775302, issued on Oct 9, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Oct 9, 2014.