Individual
MRS. ANITA DEANDA DEBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 GRAPEVINE RD, SANTA MARIA, CA 93454-2427
(805) 925-1773
Mailing address
908 GRAPEVINE RD, SANTA MARIA, CA 93454-2427
(805) 925-1773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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