Individual provider · Type 1 NPI

Annie Celice Vandergrift

Addiction (Substance Use Disorder) Counselor · Canoga Park, CA

NPI number 1740426246 Active

Practice location

22030 Sherman Way Ste 115
Canoga Park, CA 91303-1889

Call (818) 340-0230 Map

Mailing address

566 S San Pedro St # 447
Los Angeles, CA 90013-2102

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 1740426246

Annie Celice Vandergrift's National Provider Identifier is 1740426246, issued on Jan 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canoga Park, CA. The record was last updated on Jan 5, 2009.