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NPI Code Detail

MEDICARE: CELESTINO HERNANDEZ RAYOS III CADC-CAS

MEDICARE: CELESTINO HERNANDEZ RAYOS III CADC-CAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1306217260
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTINO HERNANDEZ RAYOS III CADC-CAS
Provider Business Mailing Address
First Line : 942 S SANTA FE ST
Second Line :
City : VISALIA
State : CA
Zip : 93292-2912
Country : US
Telephone Number : 559-636-4000
Fax Number : 559-624-1067
Provider Business Practice Location Address
First Line : 942 S SANTA FE ST
Second Line :
City : VISALIA
State : CA
Zip : 93292-2912
Country : US
Telephone Number : 559-636-4000
Fax Number : 559-624-1067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2015
Last Update Date : 02/21/2020

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