Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1326355546 |
---|---|
Provider Name | Dr. Iran Garcia |
First Address | Greenbrae, CA 94904-1702 |
Second Address | San Rafael, CA 94901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2010 |
Last Update Date | 06/08/2018 |