NPI 1013122969

Jenick Nazari

Practitioner Addiction (Substance Use Disorder) Counselor Glendale, CA

Practice location

Address: 4628 San Fernando Rd, Glendale, CA 91204-1822
Phone: (818) 240-8843
Fax: (818) 240-8885

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013122969
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.