VANESSA ANNWANETT KANISTANAUX

PASADENA, CA
NPI1770766594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-12-14
Last Update Date2007-12-14
Business Address
-- VANESSA ANNWANETT KANISTANAUX
1460 N LAKE AVE SUITE 107
PASADENA, CA 91104-2300
Phone number: 626-398-3796
Mailing Address
-- VANESSA ANNWANETT KANISTANAUX
1045 N GARFIELD AVE
PASADENA, CA 91104-3533
Phone number: 626-533-1804