Individual
MR. ANTONIO GARCIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
2813 S MAIN ST FL 2, CORONA, CA 92882-5942
(951) 737-2962
Mailing address
2813 S MAIN ST FL 2, CORONA, CA 92882-5942
(951) 737-2962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1421180321
CA
171M00000X
Case Manager/Care Coordinator
R1421180321
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/10/2020
Last updated
04/16/2024
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