Individual
BERTA LEONORE CIBRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
Mailing address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A054050824
CA
Other
Enumeration date
05/10/2018
Last updated
09/04/2024
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