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JANELL CAUSTRTIA

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

Registrant NPI Number: 1063814002

Individual Registrant:
 JANELL  CAUSTRTIA 
Gender: F
Sole Proprietor

Location and contact information for practice:
559 MENDOCINO CT  ATWATER, CA 95301-4230 US
Tel: 209-357-5200  Fax: --

Contact information for business:
559 MENDOCINO CT  ATWATER, CA 95301-4230 US
Tel: --  Fax: --

Registration Information:
NPI: 1063814002
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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