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MARIE ARCHULETA

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

Registrant NPI Number: 1063623742

Individual Registrant:
 MARIE  ARCHULETA 
Gender: F
Sole Proprietor

Location and contact information for practice:
820 23RD ST  RICHMOND, CA 94804-1338 US
Tel: 510-229-5000  Fax: 510-235-3112

Contact information for business:
1818 40TH AVE  OAKLAND, CA 94601-4138 US
Tel: 510-759-5555  Fax: --

Registration Information:
NPI: 1063623742
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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