MR. Dmitriy Victor Puchkarev, ASW
NPI #1215537121 in Venice, California
Provider Information
- NPI Number
- 1215537121
- Entity Type
- Individual
- Name
- MR. Dmitriy Victor Puchkarev, ASW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- ASW
- Enumeration Date
- Oct 29, 2020
- Last Updated
- Aug 4, 2025
Practice Location
- Address
- 503 OCEAN FRONT WALK
- City
- Venice
- State
- California
- ZIP Code
- 90291-2403
- Phone
- (310) 392-3070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Student in an Organized Health Care Education/Training Program |
| Social Worker - Clinical — Clinical |
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