Individual
CARLOS SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9596 S FOWLER AVE, FOWLER, CA 93625-9638
(559) 892-9452
Mailing address
123 E MERCED ST, FOWLER, CA 93625-2312
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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