Individual
ANTONIO MARTIN ACEVES SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 W TULARE AVE, VISALIA, CA 93277-3700
(805) 351-2787
Mailing address
PO BOX 2271, TULARE, CA 93275-2271
(559) 350-0227
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
143264
CA
Other
Enumeration date
08/24/2021
Last updated
01/17/2024
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