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Individual

ABRAHAM V GARCIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAADE

Contact information

Practice address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 332-4568
(805) 332-3487
Mailing address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 332-4568
(805) 332-3487

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12265-R
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033665526
CA
05
1447244256
CA
Enumeration date
09/26/2017
Last updated
06/16/2018
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