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

Gavin Ulric Anderson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245046291

Gavin Ulric Anderson is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2521 Long Beach Ave
Los Angeles, CA 90058-1324
Phone: (760) 905-8063
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1568440724 (CA)

Record details

NPI number1245046291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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