Individual
AIDE MERITO-PINA,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
1207 E FRUIT ST, SANTA ANA, CA 92701-4296
(714) 953-9373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17273
CA
106S00000X
Behavior Technician
RBT-18-66377
CA
Other
Enumeration date
09/25/2018
Last updated
02/14/2024
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