Individual provider · Type 1 NPI

Bradley Lewis Ruderman

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

NPI number 1962053587 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (310) 204-5200 Map

Mailing address

3115 Ivy St Apt 7
Los Angeles, CA 90034-3297

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 1962053587

Bradley Lewis Ruderman's National Provider Identifier is 1962053587, issued on Sep 25, 2019. 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 Sep 25, 2019.