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Individual

ANDREA CERVANTES-DIEGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
161 MILES LN, WATSONVILLE, CA 95076-3127
(831) 761-5422
Mailing address
15 COFFEY LN, FREEDOM, CA 95019-2717

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
08/31/2018
Last updated
09/22/2022
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