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MICHAEL JOSEPH

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

Registrant NPI Number: 1356822837

Individual Registrant:
 MICHAEL  JOSEPH 
Gender: M
Sole Proprietor

Location and contact information for practice:
17519 SUNSET TRL  LAKE HUGHES, CA 93532-1154 US
Tel: 661-391-2220  Fax: --

Contact information for business:
905 LAPUENTE DRIVE  BAKERSFIELD, CA 93309 US
Tel: --  Fax: --

Registration Information:
NPI: 1356822837
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CAC25481214

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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