Individual
ALFONSO BORUNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 332-4568
(805) 332-3487
Mailing address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 332-4568
(805) 332-3487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447244256
—
CA
Enumeration date
02/04/2021
Last updated
02/04/2021
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