Individual provider · Type 1 NPI

Casey Mouton

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1679124143 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (818) 416-3835 Map

Mailing address

4440 Irvine Ave
Studio City, CA 91602-1914

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 1679124143

Casey Mouton's National Provider Identifier is 1679124143, issued on Sep 25, 2019. 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 Sep 25, 2019.