Individual
CANDY SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
Mailing address
324 ORANGE AVE, LOS BANOS, CA 93635-3113
(209) 675-1416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1418430624
CA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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