Individual
DAVID CONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 BAYONET CIR, MARINA, CA 93933-4600
(831) 647-3000
Mailing address
604 PEARL ST, MONTEREY, CA 93940-3070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
12/09/2013
Last updated
05/02/2018
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