Pamela Ennis, CATC - IV - 167423IV
NPI #1093967655 in Lynwood, California
Provider Information
- NPI Number
- 1093967655
- Entity Type
- Individual
- Name
- Pamela Ennis, CATC - IV - 167423IV
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CATC - IV - 167423IV
- Enumeration Date
- Oct 15, 2008
- Last Updated
- Jun 8, 2017
Practice Location
- Address
- 11315 ATLANTIC AVE
- City
- Lynwood
- State
- California
- ZIP Code
- 90262-3007
- Phone
- (310) 537-5883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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