| Doctor Name: | NINA M HAMOUNI |
| NPI Number: | 1043561897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA |
| License Number: | 101YAD400X |
| Business Practice Address: | 599 W 9th St San Pedro, CA - 907313105 |
| Business Phone Number: | 3108310331 |
| Business Fax Number: | |
| Mailing Address: | 1029 Mira Mar Ave Apt 14, LONG BEACH |
| State: | CA |
| Postal Code: | 908046729 |
| Phone Number: | 6617134907 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101YAD400X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |