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Contact Information

MANUEL D ESCOBAR JR
1790 MIRAMAR ST
POMONA, CA91767-3424
 Phone: 323-613-5793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Drama Therapist

101200000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychoanalyst

102L00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MANUEL D ESCOBAR JR · (Male)

NPI # 1780396689
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2022
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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