Individual
CAROLYN TEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATCI
Contact information
Practice address
28272 PASEO CORRALES, SAN JUAN CAPISTRANO, CA 92675-3316
(949) 533-2147
Mailing address
28272 PASEO CORRALES, SAN JUAN CAPISTRANO, CA 92675-3316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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