DANIEL THOMAS ENNACO

TARZANA, CA
NPI1811442585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-08-23
Last Update Date2019-10-10
Business Address
DANIEL THOMAS ENNACO
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
DANIEL THOMAS ENNACO
1804 S 8TH ST
ALHAMBRA, CA 91803-3419
Phone number: 760-797-5542
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