Individual
BELINDA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(530) 333-9460
Mailing address
PO BOX 871, GARDEN VALLEY, CA 95633-0871
(530) 333-9460
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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