Individual
MISS CARINA NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 ADOLFO RD, SUITE 100, CAMARILLO, CA 93012-6787
(805) 289-0120
Mailing address
5284 ADOLFO RD, SUITE 100, CAMARILLO, CA 93012-6787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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