JOHNNY LEE BURNAM

LOS ANGELES, CA
NPI1316440977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-09
Last Update Date2018-03-09
Business Address
JOHNNY LEE BURNAM
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143
Mailing Address
JOHNNY LEE BURNAM
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143