Individual
MS. ANTOINETTE LENORE VAN RYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-6597
Mailing address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-6597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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