Individual
BO CEDAR AUCOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
125 RIGG ST, SANTA CRUZ, CA 95060-4203
(831) 226-3728
(831) 425-1905
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
08/09/2023
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