Individual
MISS CHANTAL ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 17TH ST, BAKERSFIELD, CA 93301-4504
(661) 636-4025
Mailing address
1300 17TH ST, BAKERSFIELD, CA 93301-4504
(661) 636-4025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12995-R
CA
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
08/04/2023
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