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YAZMIN BETZAIDA POLYCARPE LPHA
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1992951222
Individual Registrant: YAZMIN BETZAIDA POLYCARPE LPHA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
311 E MERCED ST FOWLER, CA 93625-2316 US
Tel: 559-892-9452 Fax: --
Tel: 559-892-9452 Fax: --
Contact information for business:
311 E MERCED ST FOWLER, CA 93625-2316 US
Tel: 559-892-9452 Fax: 559-627-1405
Tel: 559-892-9452 Fax: 559-627-1405
Registration Information:
NPI: 1992951222
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CA | |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | ||
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | CA | ASW106166 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
