Doctor Name: | ANDREW DABBOUS |
NPI Number: | 1710294566 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 9808 Venice Blvd Suite 700 Culver City, CA - 902322732 |
Business Phone Number: | 3109453350 |
Business Fax Number: | 3108407023 |
Mailing Address: | 9808 Venice Blvd, Suite 700 CULVER CITY |
State: | CA |
Postal Code: | 902322732 |
Phone Number: | 3109453350 |
Fax Number: | 3108407023 |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |