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YAZMIN BETZAIDA POLYCARPE LPHA

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

Registrant NPI Number: 1992951222

Individual Registrant:
 YAZMIN BETZAIDA POLYCARPE LPHA
Gender: F
Sole Proprietor

Location and contact information for practice:
311 E MERCED ST  FOWLER, CA 93625-2316 US
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

Registration Information:
NPI: 1992951222
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CAASW106166

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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