ANTHONY JASON DURHAM

LOS ANGELES, CA
NPI1639403983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  65441)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  31881)
Enumeration Date2009-09-18
Last Update Date2020-08-24
Business Address
ANTHONY JASON DURHAM
5054 S VERMONT AVE
LOS ANGELES, CA 90037-2946
Phone number: 323-373-2444
Mailing Address
ANTHONY JASON DURHAM
3031 S VERMONT AVE
LOS ANGELES, CA 90007-3033
Phone number: 323-373-2400