Individual provider · Type 1 NPI
Daisy Cordova
Mental Health Counselor · Nipomo, CA
NPI number
1700391679
Active
Practice location
715 Beverly Dr
Nipomo, CA 93444-9642
Other practice locations
- 115 E Fesler St, Santa Maria, CA 93454-4404 · (805) 922-6597
- 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 · (805) 781-3535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1700391679
Daisy Cordova's National Provider Identifier is 1700391679, issued on Dec 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nipomo, CA. The record was last updated on Dec 23, 2020.