Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | RW2166 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1164661351 |
---|---|
Provider Name | Miss Guadalupe Garcia |
First Address | El Centro, CA 92243-2328 |
Second Address | El Centro, CA 92243-2328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 19/02/2014 |