Individual provider · Type 1 NPI
Vadim Baranovsky
Addiction (Substance Use Disorder) Counselor · Reseda, CA
NPI number
1679692735
Active
Practice location
19231 Victory Blvd, Suite 554
Reseda, CA 91335-6308
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 1679692735
Vadim Baranovsky's National Provider Identifier is 1679692735, issued on Mar 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Jul 8, 2007.