Individual
MISS BETSAIDA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCAPP
Contact information
Practice address
525 N PARKER ST, ORANGE, CA 92868-1323
(714) 639-5546
Mailing address
1921 SHERRY LN APT 92, SANTA ANA, CA 92705-7621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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