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Individual

CARLOS MONTES DE OCA PAEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.- R.A.S.

Contact information

Practice address
163 SHEPARD LN, C, BISHOP, CA 93514-2133
(760) 258-7132
Mailing address
163C SHEPARD LN, BISHOP, CA 93514-2133
(760) 258-7132

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MO403021116
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MO403021116
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
MO403021116
CA

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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