PAMELA ENNIS, CATC - IV - 167423IV

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1093967655

Practice Address

11315 ATLANTIC AVE
Lynwood, CA 90262

Phone: (310) 537-5883

Specialties

Specialty Code Primary License
Case Management 251B00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1093967655 is the National Provider Identifier for PAMELA ENNIS, CATC - IV - 167423IV, a Counselor - Addiction (Substance Use Disorder) provider located in Lynwood, CA. This NPI was enumerated on October 15, 2008.
PAMELA ENNIS, CATC - IV - 167423IV practices at 11315 ATLANTIC AVE, Lynwood, CA 90262.

Quick Facts

NPI
1093967655
Type
Individual
Enumerated
Oct 15, 2008
Last Updated
Jun 8, 2017

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