ANTHONY JACOB ITKIN

TARZANA, CA
NPI1942974761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-04
Last Update Date2021-09-30
Business Address
ANTHONY JACOB ITKIN
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 888-777-8565
Mailing Address
ANTHONY JACOB ITKIN
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 323-533-3229
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