Individual provider · Type 1 NPI

Lidia Amparo Quiahua, TBA

Addiction (Substance Use Disorder) Counselor · King City, CA

NPI number 1407329659 Active

Practice location

641 Broadway St
King City, CA 93930-3231

Call (831) 525-8101 Map

Fax (831) 525-8130

Mailing address

324 N 3rd St
King City, CA 93930-2808

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1332581218 (CA)

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

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About NPI 1407329659

Lidia Amparo Quiahua, TBA's National Provider Identifier is 1407329659, issued on Jan 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in King City, CA. The record was last updated on Jan 9, 2019.