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1124755376
IAN ANDERSON
LONG BEACH, CA
NPI
1124755376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci34251121)
Enumeration Date
2022-08-06
Last Update Date
2022-08-06
Business Address
IAN ANDERSON CADC-I
3848 ATLANTIC AVE STE 4
LONG BEACH, CA 90807-3530
Phone number: 844-930-4434
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Mailing Address
IAN ANDERSON CADC-I
PO BOX 7741
THOUSAND OAKS, CA 91359-7741
Phone number: 801-550-7288
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