Provider Demographics
NPI:1811462302
Name:SYMINGTON, JAMES III (SUD COUNSELOR)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SYMINGTON
Suffix:III
Gender:M
Credentials:SUD COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9637 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-4523
Mailing Address - Country:US
Mailing Address - Phone:323-378-2009
Mailing Address - Fax:
Practice Address - Street 1:9637 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-4523
Practice Address - Country:US
Practice Address - Phone:323-378-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)