Individual
ANTONIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1633 E 4TH ST, SANTA ANA, CA 92701-5163
(714) 565-2830
(714) 565-2833
Mailing address
1633 E 4TH ST, SANTA ANA, CA 92701-5163
(714) 565-2830
(714) 565-2833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
COUNSELOR
CA
Enumeration date
09/28/2006
Last updated
07/08/2007
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