Individual
ALICE BURGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 S SANTA FE AVE, VISTA, CA 92083-5939
(760) 945-5290
Mailing address
733 S SANTA FE AVE, VISTA, CA 92083-5939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI13000418
CA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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