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MICHAEL RODRIGUEZ BELTRAN

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

Registrant NPI Number: 1063062453

Individual Registrant:
 MICHAEL RODRIGUEZ BELTRAN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
14401 SIERRA WAY  KERNVILLE, CA 93238-9704 US
Tel: 760-376-8500  Fax: --

Contact information for business:
2731 NUGGET AVE  LAKE ISABELLA, CA 93240-9456 US
Tel: 341-276-0379  Fax: --

Registration Information:
NPI: 1063062453
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CACI08910617

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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