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Individual
JIMMY GARCIA
Active
Individual
JIMMY GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1325701018
CA
101YM0800X
Mental Health Counselor
Primary
22-QMHP-R-R-1727
OR
Other
Enumeration date
12/17/2018
Last updated
02/06/2023
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