EBANI PONTIFLET

OAKLAND, CA
NPI1508635384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1523210823)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-21
Last Update Date2023-12-21
Business Address
EBANI PONTIFLET
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-4884
Mailing Address
EBANI PONTIFLET
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448