Individual
ELIAZAR ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 W CENTRAL AVE, LOMPOC, CA 93436-2805
(805) 865-6057
Mailing address
401 E CYPRESS AVE, LOMPOC, CA 93436-6806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
07/29/2026
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