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Individual

CECILIA CARLOTA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1560 VALLEY VIEW RD APT 12, HOLLISTER, CA 95023-5850
(408) 659-9435
Mailing address
1560 VALLEY VIEW RD APT 12, HOLLISTER, CA 95023-5850
(408) 659-9435

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RADTI1480010822
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RADTI1480010822
CCAPP
CA
Enumeration date
10/27/2022
Last updated
10/27/2022
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