PAMELA ENNIS CATC - IV - 167423IV
NPI 1093967655
Counselor - Addiction (Substance Use Disorder) in Lynwood, CA
Active since October 15, 2008
About Pamela Ennis Catc - Iv - 167423iv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA ENNIS CATC - IV - 167423IV (NPI 1093967655) is an individual addiction (substance use disorder) provider in Lynwood, California and active in the NPI registry since October 2008.
NPPES Registry Identity
NPI1093967655
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePAMELA ENNISCredential: CATC - IV - 167423IV
Location Address11315 ATLANTIC AVELynwood, CA 90262-3007
Mailing Address270 W 14th StSan Pedro, CA 90731-4315 · (310) 519-8723
Phone(310) 537-5883
Sole ProprietorYes
Enumeration DateOctober 15, 2008
Last NPPES UpdateJune 8, 2017
✔ NPI 1093967655 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase ManagementTaxonomy 251B00000X
11315 ATLANTIC AVE, Lynwood, CA 90262
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
11315 ATLANTIC AVE
LYNWOOD, CA 90262
LYNWOOD, CA 90262
Counselor (Addiction (Substance Use Disorder))
11315 ATLANTIC AVE
LYNWOOD, CA 90262
LYNWOOD, CA 90262
Counselor (Addiction (Substance Use Disorder))
11315 ATLANTIC AVE
LYNWOOD, CA 90262
LYNWOOD, CA 90262
Counselor (Addiction (Substance Use Disorder))
11315 ATLANTIC AVE
LYNWOOD, CA 90262
LYNWOOD, CA 90262
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093967655, enumerated as an "individual" on October 15, 2008.
The provider is located at 11315 ATLANTIC AVE LYNWOOD, CA 90262 and the phone number is (310) 537-5883.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
