| Pdap Of Ventura County | |
|
10738 Encino Dr Oak View CA 93022-9238 | |
| (805) 233-4939 | |
| Not Available |
| Full Name | Pdap Of Ventura County |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10738 Encino Dr, Oak View, California |
| Authorized Official Name and Position | Patricia A Wallace (COUNSELOR) |
| Authorized Official Contact | 8054821265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdap Of Ventura County 10738 Encino Dr Oak View CA 93022-9238 Ph: (805) 233-4939 | Pdap Of Ventura County 10738 Encino Dr Oak View CA 93022-9238 Ph: (805) 233-4939 |
| NPI Number | 1932229630 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932229630 | NPI | - | NPPES |
| 040970 | Other | CA | COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 040970 (California) | Primary |