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Organization
PES-EBS.INC.
Active
Organization
PES-EBS.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORA ANNE MARTIN MA (PROGRAM DIRECTOR)
(530) 863-4720
Entity
Organization
Contact information
Practice address
11960 HERITAGE OAK PL, STE 7, AUBURN, CA 95603-2401
(530) 888-1010
(530) 888-9065
Mailing address
11837 KEMPER RD, STE 2, AUBURN, CA 95603-9067
(530) 888-1010
(530) 888-9065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
310021AP
CA
Other
Enumeration date
08/28/2012
Last updated
09/13/2012
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