Individual provider · Type 1 NPI

Audra Nicole Kourosmehr

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1700570363 Active

Practice location

1450 N Lake Ave Ste 150
Pasadena, CA 91104-2388

Call (626) 794-1161 Map

Other practice locations

  • 2452 Wilshire St, Riverside, CA 92501-2144 · (951) 682-6631

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 1700570363

Audra Nicole Kourosmehr's National Provider Identifier is 1700570363, issued on Jun 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Jul 16, 2024.