Individual
CARLOS VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E BOBIER DR, VISTA, CA 92084-3929
(760) 500-2117
Mailing address
1010 E BIBIER DRIVE, VISTA, CA 92084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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