Individual
GEORGE DANIEL VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8029 LA MESA BLVD, LA MESA, CA 91941-6434
(800) 424-2686
(619) 466-2662
Mailing address
2142 HANOVER PL, ROCKLIN, CA 95765-6106
(916) 225-2615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 9362
CA
Other
Enumeration date
10/20/2007
Last updated
05/19/2008
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