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Individual
CARLOS MONTES DE OCA PAEZ
Active
Individual
CARLOS MONTES DE OCA PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.- R.A.S.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MO403021116
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MO403021116
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
MO403021116
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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