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NPI Profile for ROBERTO AHUMADA REYES JR in SANTA CRUZ, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1477162352 |
|
| Status | Active | |
| Credentials | BA OF PSYCHOLOGY | |
| Entity | Individual | |
| Enumeration date | 07/27/2020 | |
| Last updated | 07/27/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ROBERTO AHUMADA REYES JR
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ROBERTO AHUMADA REYES JR, BA OF PSYCHOLOGY