AVISSA ILKHAN

RESEDA, CA
NPI1144848581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1395550620)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
AVISSA ILKHAN
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
Mailing Address
AVISSA ILKHAN
10201 MASON AVE UNIT 63
CHATSWORTH, CA 91311-3310
Phone number: 310-994-8800
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