Individual
ALEXANDER BERNARD DEVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 BERNARD ST, BAKERSFIELD, CA 93305-3020
(661) 325-1817
(661) 325-3929
Mailing address
PO BOX 3218, BAKERSFIELD, CA 93385-3218
(661) 325-1817
(661) 325-3929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1330101118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1330101118
CCAPP
CA
Enumeration date
02/06/2019
Last updated
02/06/2019
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