PENNY ANITA CARROLL

BARSTOW, CA
NPI1780993857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  01-036484)
Enumeration Date2010-10-06
Last Update Date2022-03-16
Business Address
Mrs. PENNY ANITA CARROLL CADC II ,ICADC
1841 E MAIN ST
BARSTOW, CA 92311-3234
Phone number: 760-255-5700
Mailing Address
Mrs. PENNY ANITA CARROLL CADC II ,ICADC
1841 E MAIN ST
BARSTOW, CA 92311-3234
Phone number: 607-255-5700