Individual
ERNEST MARTIN PANOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AOD COUNSELOR
Contact information
Practice address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
Mailing address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
199149LL
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316192149
TELECARE SANTA MARIA FSP
—
Enumeration date
11/01/2016
Last updated
08/07/2025
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