Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1063616910 |
---|---|
Provider Name | Dr. William Louis Svoboda |
First Address | Manteca, CA 95337-8784 |
Second Address | Manteca, CA 95337-8784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 18/01/2013 |