Individual
CHANTAL MAYOMI NITOWSKI
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
13012 E MESA VERDE DR, MOORPARK, CA 93021-2149
(805) 990-3179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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