Individual provider · Type 1 NPI

Crystal Patricia Bacolot

Addiction (Substance Use Disorder) Counselor · Santa Maria, CA

NPI number 1114863222 Active

Practice location

115 E Fesler St
Santa Maria, CA 93454-4404

Call (805) 922-6597 Map

Mailing address

112 W Camino Colegio Apt B
Santa Maria, CA 93458-6507

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114863222

Crystal Patricia Bacolot's National Provider Identifier is 1114863222, issued on Apr 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Apr 29, 2026.