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MS. MIA ALEXANDER CAADE - 13040-R

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

Registrant NPI Number: 1528601002

Individual Registrant:
MS. MIA  ALEXANDER CAADE - 13040-R
Gender: F
Not Sole Proprietor

Location and contact information for practice:
115 E FESLER ST  SANTA MARIA, CA 93454-4404 US
Tel: 805-922-6597  Fax: --

Contact information for business:
115 E FESLER ST  SANTA MARIA, CA 93454-4404 US
Tel: 805-922-6597  Fax: --

Registration Information:
NPI: 1528601002
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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