Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pamela Ennis, CATC-IV-167423IV

Individual provider Case Management Agency · NPI 1093967655

Pamela Ennis, CATC-IV-167423IV is a Case Management Agency in Lynwood, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
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Practice location Address checks out

11315 Atlantic Ave
Lynwood, CA 90262-3007
Phone: (310) 537-5883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1093967655
Entity typeIndividual (Type 1)
GenderFemale
Credentials CATC-IV-167423IV
Sole proprietorYes
NPI enumeratedOctober 15, 2008
Last updated in NPPESJune 8, 2017

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