Individual
AUGUSTINE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6857
Mailing address
1849 W FLORA ST, STOCKTON, CA 95203-1432
(209) 513-3245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14078
CA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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