Individual
CHARLES ANTHONY LOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 INGER DR STE 103-B, SANTA MARIA, CA 93454-8669
(805) 346-8185
Mailing address
1364 VIVA WAY, NIPOMO, CA 93444-9221
(805) 805-9082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6965
CA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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