Individual
ISMAEL TALAVERA
Active
Individual
ISMAEL TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
42104
CA
Other
Enumeration date
08/02/2011
Last updated
10/11/2025
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