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ADDA REBOLLEDO

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1386020717

Individual Registrant:
 ADDA  REBOLLEDO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
311 E MERCED ST  FOWLER, CA 93625-2316 US
Tel: 559-892-9452  Fax: --

Contact information for business:
311 E MERCED ST  FOWLER, CA 93625-2316 US
Tel: 559-892-9452  Fax: --

Registration Information:
NPI: 1386020717
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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