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Individual
LUIS ADOLFO MEZA
Active
Individual
LUIS ADOLFO MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
1041C0700X
Clinical Social Worker
Primary
107667
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
02/15/2011
Last updated
03/28/2023
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