Individual provider · Type 1 NPI

Sara Fonda, SUDRC

Addiction (Substance Use Disorder) Counselor · West Hollywood, CA

NPI number 1902649973 Active

Practice location

7235 Santa Monica Blvd
West Hollywood, CA 90046-6724

Mailing address

5825 Reseda Blvd Apt 241
Tarzana, CA 91356-2035

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15641 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902649973

Sara Fonda, SUDRC's National Provider Identifier is 1902649973, issued on Jun 17, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Hollywood, CA. The record was last updated on Jun 17, 2024.