Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 10039-R | CA |
NPI | 1003322199 |
---|---|
Provider Name | Janice Huggins Valdez |
First Address | Ripon, CA 95366 |
Second Address | Ripon, CA 95366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2017 |
Last Update Date | 27/12/2017 |