Individual
ALVARO MELGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
Mailing address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
09/14/2009
Last updated
03/07/2012
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