Individual provider · Type 1 NPI

Nino Kapanadze

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

NPI number 1912169533 Active

Practice location

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

Call (818) 340-0230 Map

Mailing address

5725 Reseda Blvd Apt 6
Tarzana, CA 91356-2210

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 1912169533

Nino Kapanadze's National Provider Identifier is 1912169533, issued on Jun 25, 2008. 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 Jun 25, 2008.