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CESAR CERVANTES

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174042121

Individual Registrant:
 CESAR  CERVANTES 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
78140 CALLE TAMPICO  LA QUINTA, CA 92253 US
Tel: 760-863-7970  Fax: --

Contact information for business:
78140 CALLE TAMPICO  LA QUINTA, CA 92253-2900 US
Tel: --  Fax: --

Registration Information:
NPI: 1174042121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1

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