Individual
BERNARDO CAMILO CAVALCANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 ALLEN STREET, MARTINEZ, CA 94553
(925) 375-9278
Mailing address
25 ALLEN STREET, SUITE B, MARTINEZ, CA 94553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
41332
CA
Other
Enumeration date
07/31/2018
Last updated
10/25/2023
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