Most Relevant Information
Provider Data
| NPI Number: | 1003557034 |
| Provider Name: | DANIELLE ENEBRAD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 04/05/2022 |
Provider Practice Location
2495 W MARCH LN STE 125
STOCKTON
CA
952078224
Practice Location Phone/Fax
| Phone: | 2094651080 |
| Fax: |
Provider Mailing Location
2495 W MARCH LN STE 125
STOCKTON
CA
952078224
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |