Individual
CARLOS A CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N LOCUST ST, VISALIA, CA 93291-4946
(559) 627-1385
Mailing address
220 N LOCUST ST, VISALIA, CA 93291-4946
(559) 627-1385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
100003AN
CA
Other
Enumeration date
11/15/2018
Last updated
01/15/2019
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