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Individual

MARIO BELTRAN GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4341 S HIGHWAY 92, SUITE F, SIERRA VISTA, AZ 85650-9399
(520) 803-7500
(520) 803-7512
Mailing address
4755 CAMPUS DR, SIERRA VISTA, AZ 85635-2449
(520) 458-3932
(520) 803-7512

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW-05541
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
988909
AHCCCS
AZ
01
AZ0913160
BCBS
AZ
Enumeration date
10/11/2006
Last updated
11/27/2012
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