Individual
MR. CARLOS ALBERTO SIEZAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3144
Mailing address
400 N. PEPPER AVE, COLTON, CA 92324
(909) 580-3144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
12/30/2015
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