Individual provider · Type 1 NPI

Raevin Marie Manzanares

Addiction (Substance Use Disorder) Counselor · Atwater, CA

NPI number 1619269677 Active

Practice location

508 Mendocino Ct
Atwater, CA 95301-4230

Call (209) 357-5200 Map

Fax (209) 357-5279

Mailing address

4121 Dale Rd Apt 42
Modesto, CA 95356-8602

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 1619269677

Raevin Marie Manzanares's National Provider Identifier is 1619269677, issued on May 10, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atwater, CA. The record was last updated on May 10, 2011.