Jack Victor Souadjian JR., CAODC 8760
NPI #1336706332 in Stanton, California
Provider Information
- NPI Number
- 1336706332
- Entity Type
- Individual
- Name
- Jack Victor Souadjian JR., CAODC 8760
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CAODC 8760
- Enumeration Date
- May 24, 2019
- Last Updated
- May 24, 2019
Practice Location
- Address
- 10936 DALE AVE
- City
- Stanton
- State
- California
- ZIP Code
- 90680-2724
- Phone
- (714) 952-4032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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