Kanistanaux, Vanessa Annwanett

Kanistanaux, Vanessa Annwanett is an individual health care provider with primary practice located at 1460 N Lake Ave Suite 107, Pasadena CA 91104-2300. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kanistanaux, Vanessa Annwanett can be contacted via phone (626) 398-3796.

Contact Information

Primary practice address
1460 N Lake Ave Suite 107 Pasadena CA 91104-2300
Phone: (626) 398-3796
Fax: (626) 398-3895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1770766594
LBN Legal business name Kanistanaux, Vanessa Annwanett
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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