DANA M COUCH DONNELLY

TARZANA, CA
NPI1699473439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15115-RAC)
Enumeration Date2023-02-21
Last Update Date2023-03-02
Business Address
DANA M COUCH DONNELLY
6005 YOLANDA AVE
TARZANA, CA 91356-1421
Phone number: 818-996-1051
Mailing Address
DANA M COUCH DONNELLY
6005 YOLANDA AVE
TARZANA, CA 91356-1421
Phone number: 818-996-1051