Inna Phoenix Gore
NPI #1316273196 in Reseda, California
Provider Information
- NPI Number
- 1316273196
- Entity Type
- Individual
- Name
- Inna Phoenix Gore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 28, 2009
- Last Updated
- Oct 28, 2009
Practice Location
- Address
- 19231 VICTORY BLVD
- Address 2
- 554
- City
- Reseda
- State
- California
- ZIP Code
- 91335-6308
- Phone
- (818) 776-1755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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