Individual
MRS. CARMEN LOUISE SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
920 S BROADWAY, SUITE B, SANTA MARIA, CA 93454-6662
(805) 925-5776
(805) 614-7126
Mailing address
920 S BROADWAY, SUITE B, SANTA MARIA, CA 93454-6662
(805) 925-5776
(805) 614-7126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS 5631
CA
Other
Enumeration date
03/12/2007
Last updated
09/04/2014
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