Individual
CHANCHAL S DOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 SAVIERS RD # 10, OXNARD, CA 93033-3608
(805) 483-2253
Mailing address
2500 ASHMORE CIR APT 14, THOUSAND OAKS, CA 91362-5756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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