Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | HI | |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301014522 | MI |
NPI | 1053645259 |
---|---|
Provider Name | Mr. David Frederick Garcia |
First Address | Redford, MI 48240-2314 |
Second Address | Ewa Beach, HI 96706-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 14/05/2015 |