Avanesov, Alexander Yuryevich

Avanesov, Alexander Yuryevich is an individual health care provider with primary practice located at 26 Central Ave , Redwood City CA 94061-3823. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Avanesov, Alexander Yuryevich can be contacted via phone (650) 367-9030.

Contact Information

Primary practice address
26 Central Ave Redwood City CA 94061-3823
Phone: (650) 367-9030
Fax: (650) 367-9032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY33518 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY33518 California

Profile Details

NPI number 1902956881
LBN Legal business name Avanesov, Alexander Yuryevich
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated May 27th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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