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JOSEPHINE ANDAZOLA CAS I

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

Registrant NPI Number: 1962679415

Individual Registrant:
 JOSEPHINE  ANDAZOLA CAS I
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1408 A ST  ANTIOCH, CA 94509-2331 US
Tel: 925-978-2873  Fax: 925-757-0411

Contact information for business:
1408 A ST  ANTIOCH, CA 94509-2331 US
Tel: 925-978-2873  Fax: 925-757-0411

Registration Information:
NPI: 1962679415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA03-074408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CAS I/CERTIFICATION03-074408CA01




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