Individual
CARMEN HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-6597
Mailing address
2611 SOLANO RD APT 205, PISMO BEACH, CA 93449-1733
(805) 270-8151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3H30P75DD04
INDIVIDUAL
CA
Enumeration date
11/13/2020
Last updated
12/16/2020
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