Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Glenn Ionatuivaiti, CADC-1

Individual provider Counselor · NPI 1285195545

Andrew Glenn Ionatuivaiti, CADC-1 is a Counselor in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

909 Pico Blvd
Santa Monica, CA 90405-1326
Phone: (310) 314-6200
Fax: (310) 399-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)
Counselor Taxonomy 101Y00000X · Licence R1335360119 (CA)

Record details

NPI number1285195545
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-1
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESNovember 20, 2023
Certification dateNovember 17, 2023

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