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

Jeffrey Andersen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164071650

Jeffrey Andersen is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

270 W 14th St # 27
San Pedro, CA 90731-4396
Phone: (310) 519-8723
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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 92845 (CA)

Record details

NPI number1164071650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019
Mailing address270 W 14th St # 270, San Pedro, CA 90731-4396

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