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MICHAEL RODRIGUEZ BELTRAN
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063062453
Individual Registrant: MICHAEL RODRIGUEZ BELTRAN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
14401 SIERRA WAY KERNVILLE, CA 93238-9704 US
Tel: 760-376-8500 Fax: --
Tel: 760-376-8500 Fax: --
Contact information for business:
2731 NUGGET AVE LAKE ISABELLA, CA 93240-9456 US
Tel: 341-276-0379 Fax: --
Tel: 341-276-0379 Fax: --
Registration Information:
NPI: 1063062453
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CA | CI08910617 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
