Individual
DALLAS DANIEL DUCHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS BEHAVIORAL HEALTH
Contact information
Practice address
29201 HEATHERCLIFF RD, #149, MALIBU, CA 90265-4146
(888) 456-2528
Mailing address
29201 HEATHERCLIFF RD, #149, MALIBU, CA 90265-4146
(888) 456-2528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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