Individual
BERNADETTE COTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(657) 744-7563
Mailing address
367 S LEMON ST, ORANGE, CA 92866-1809
(657) 744-7563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1579330924
CA
Other
Enumeration date
10/29/2024
Last updated
05/19/2025
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