Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003060781 |
---|---|
Provider Name | Augustina Veronica Garcia |
First Address | Visalia, CA 93277-2727 |
Second Address | Visalia, CA 93277-2727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2008 |
Last Update Date | 07/11/2008 |