Individual
CHANEL CARREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 S MILLER ST STE 11, SANTA MARIA, CA 93454-6916
(805) 739-1512
(805) 349-2855
Mailing address
215 INGER DR UNIT 21, SANTA MARIA, CA 93454-8663
(805) 406-0947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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