Provider Demographics
NPI:1730418310
Name:OYANGUREN CONNER, ANNETTE
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:
Last Name:OYANGUREN CONNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7762 FOOTHILL BLVD
Mailing Address - Street 2:#217
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2153
Mailing Address - Country:US
Mailing Address - Phone:818-273-4676
Mailing Address - Fax:
Practice Address - Street 1:7762 FOOTHILL BLVD
Practice Address - Street 2:#217
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2153
Practice Address - Country:US
Practice Address - Phone:818-273-4676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)