Individual
MISS ANDREA PETRA BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N CHURCH ST, VISALIA, CA 93291-5009
(559) 734-6042
Mailing address
1545 S CENTRAL ST, APT 3, VISALIA, CA 93277-4476
(559) 739-1867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545416
—
CA
Enumeration date
05/22/2007
Last updated
07/09/2007
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