ANDREW GLENN IONATUIVAITI

SANTA MONICA, CA
NPI1285195545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
(Licence: CA  R1335360119)
Enumeration Date2019-03-28
Last Update Date2023-11-20
Business Address
ANDREW GLENN IONATUIVAITI CADC-1
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
ANDREW GLENN IONATUIVAITI CADC-1
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200