Idehen, Teddy

Idehen, Teddy is an individual health care provider with primary practice located at 11633 Hawthorne Blvd Ste 210 , Hawthorne CA 90250-2322. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Idehen, Teddy can be contacted via phone (310) 351-9295.

Contact Information

Primary practice address
11633 Hawthorne Blvd Ste 210 Hawthorne CA 90250-2322
Phone: (310) 351-9295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-10509270844 California

Profile Details

NPI number 1538388426
LBN Legal business name Idehen, Teddy
Credentials BSC, COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 18 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538388426 NPPES
California Other RI-10509270844 ADDICTION COUNSELOR

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