MEDICARE: MS. ALICE MARY OUZENIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		CA

General Provider Information

NPI Number	:	1174250682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE MARY OUZENIAN

Provider Business Mailing Address
First Line	:	2832 JOAQUIN DR
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-1827
Country	:	US
Telephone Number	:	626-597-5156
Fax Number	:	818-337-2017

Provider Business Practice Location Address
First Line	:	2832 JOAQUIN DR
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-1827
Country	:	US
Telephone Number	:	626-597-5156
Fax Number	:	818-337-2017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	09/11/2025

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