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

Audra Nicole Kourosmehr

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700570363

Audra Nicole Kourosmehr is an Addiction (Substance Use Disorder) Counselor in Pasadena, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1450 N Lake Ave Ste 150
Pasadena, CA 91104-2388
Phone: (626) 794-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2452 Wilshire St, Riverside, CA 92501-2144 — (951) 682-6631

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1700570363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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