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Individual

ALICE DUBBERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.A.S. & C.A.T.C.

Contact information

Practice address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-5145
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-5145

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
D1008300941
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RAS-B1205161649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B1205161649
REGISTERED ADDICTIONS SPECIALIST
CA
01
CATC D1008300941
BOARD CERTIFIED ADDICTIONS SPECIALIST
CA
Enumeration date
09/26/2016
Last updated
09/26/2016
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