DEZELLA MARIE BANKS

TARZANA, CA
NPI1609057520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1503650423)
Enumeration Date2007-11-19
Last Update Date2024-01-02
Business Address
DEZELLA MARIE BANKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
DEZELLA MARIE BANKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051