JOHNNY FANENE

SEASIDE, CA
NPI1922333475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-15
Last Update Date2009-10-15
Business Address
-- JOHNNY FANENE
1152 SONOMA AVE
SEASIDE, CA 93955-5218
Phone number: 831-899-2436
Mailing Address
-- JOHNNY FANENE
1152 SONOMA AVE
SEASIDE, CA 93955-5218
Phone number: 831-899-2436
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