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JACK VICTOR SOUADJIAN JR. CAODC 8760
NPI 1336706332
Counselor - Addiction (Substance Use Disorder) in Stanton, CA

Active since May 24, 2019
10936 DALE AVE, STANTON, CA 90680(714) 952-4032(714) 952-4075 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Victor Souadjian Jr. Caodc 8760 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK VICTOR SOUADJIAN JR. CAODC 8760 (NPI 1336706332) is an individual addiction (substance use disorder) provider in Stanton, California, licensed in California (8760) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1336706332
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK VICTOR SOUADJIAN JR.Credential: CAODC 8760
Location Address10936 DALE AVEStanton, CA 90680-2724
Mailing Address10936 Dale AveStanton, CA 90680-2724 · (714) 952-4032 · Fax (714) 952-4075
Phone(714) 952-4032
Fax(714) 952-4075
Sole ProprietorYes
Enumeration DateMay 24, 2019
✔ NPI 1336706332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 8760
10936 DALE AVE, Stanton, CA 90680
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BALLESTER
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
FRANKLYN OSAGE NEFF
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
MELISSA ANNE REES RASI
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
DUKE PIAZZA
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
MS. JACQUE PAIGE DELEO RASI
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
ANTOINETTE SANCHEZ SUDRC
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
DANA SCOTT
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4032
MR. CODY BATTAGLIA SUD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
10936 DALE AVE
STANTON, CA 90680
Orange County (714) 952-4030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Souadjian's NPI number?

The NPI number for Jack Souadjian is 1336706332. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Jack Souadjian located?

Jack Souadjian practices at 10936 Dale Ave, Stanton, CA 90680. The listed phone number is (714) 952-4032.

What is Jack Souadjian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Souadjian was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.