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NPI Code Detail

MEDICARE: RAYMOND JOSEPH GARCIA CADC II

MEDICARE:   RAYMOND JOSEPH GARCIA  CADC II
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) CounselorA020580815CA

General Provider Information

NPI Number : 1932358033
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND JOSEPH GARCIA CADC II
Provider Business Mailing Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number : 760-379-5332
Provider Business Practice Location Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number : 760-379-5332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2008
Last Update Date : 12/04/2020

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Directions to “ RAYMOND JOSEPH GARCIA CADC II” Practice Location

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