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Ebony Pannell
NPI 1225521826 · on the registry since 2018
Practice
- Address
- 1870 Cordell Ct Ste 101
El Cajon, CA 92020 - Phone
- (619) 448-9700
- Fax
- (619) 448-9711
- Organisation at this address
- San Diego Youth Services
San Diego Youth ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 312
Additional practice sites
- 264 Landis Ave Ste 200, Chula Vista, CA
- 5762 Bolsa Ave Ste 101, Huntington Beach, CA
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California