Jonathan Iddamalgoda
Jonathan Iddamalgoda is an Addiction (Substance Use Disorder) Counselor in Woodland Hills, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
6022 Variel AveWoodland Hills, CA 91367-3719
Phone: (818) 996-1051
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 96000115 (CA) |
|---|
Record details
| NPI number | 1609641794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2023 |
| Last updated in NPPES | November 17, 2023 |
| Certification date | November 17, 2023 |
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Saudah Km Ismail, RADT
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Michael Jiuliano
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John Michael Johnson
6022 Variel Ave, Woodland Hills, CA 91367-3719 · (818) 996-1051