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1699473439
DANA M COUCH DONNELLY
TARZANA, CA
NPI
1699473439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15115-RAC)
Enumeration Date
2023-02-21
Last Update Date
2023-03-02
Business Address
DANA M COUCH DONNELLY
6005 YOLANDA AVE
TARZANA, CA 91356-1421
Phone number: 818-996-1051
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Mailing Address
DANA M COUCH DONNELLY
6005 YOLANDA AVE
TARZANA, CA 91356-1421
Phone number: 818-996-1051
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