Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Victor Souadjian Jr., CAODC8760

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336706332

Jack Victor Souadjian Jr., CAODC8760 is an Addiction (Substance Use Disorder) Counselor in Stanton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

10936 Dale Ave
Stanton, CA 90680-2724
Phone: (714) 952-4032
Fax: (714) 952-4075
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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 · Licence 8760 (CA)

Record details

NPI number1336706332
Entity typeIndividual (Type 1)
GenderMale
Credentials CAODC8760
Sole proprietorYes
NPI enumeratedMay 24, 2019
Last updated in NPPESMay 24, 2019

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