Individual provider · Type 1 NPI

Larry Soderstrom

Addiction (Substance Use Disorder) Counselor · Oxnard, CA

NPI number 1851580179 Active

Practice location

2055 Saviers Rd., #10
Oxnard, CA 93033

Call (805) 483-2253 Map

Fax (805) 483-2255

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531

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 1851580179

Larry Soderstrom's National Provider Identifier is 1851580179, issued on Oct 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Apr 5, 2010.