Individual provider · Type 1 NPI

Jason Damavandi

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

NPI number 1891005708 Active

Practice location

5015 W Pico Blvd
Los Angeles, CA 90019-4127

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991

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 1891005708

Jason Damavandi's National Provider Identifier is 1891005708, issued on Oct 13, 2010. 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 Oct 13, 2010.