person
Lidia Amparo Quiahua, TBA
Addiction (Substance Use Disorder) Counselor in King City, California
NPI 1407329659

Lidia Amparo Quiahua is an Addiction (Substance Use Disorder) Counselor based in King City, CA and is specialized in Addiction (Substance Use Disorder). Lidia Amparo Quiahua practices in King City, CA and has the professional credentials of TBA. The NPI Number for Lidia Amparo Quiahua is 1407329659 and holds a License No. R1332581218 (California).

The current practice location address for Lidia Amparo Quiahua is 641 Broadway St, King City, CA and can be reached out via phone at 831-525-8101 and via fax at 831-525-8130.

Location: 641 Broadway St, King City, CA, 93930-2808
person
Provider Profile Details
NPI Number
1407329659
Provider Name
Lidia Amparo Quiahua
Credential
TBA
Provider Entity Type
Individual
Gender
Female
Address
641 Broadway St, King City, CA, 93930-2808
Phone Number
831-525-8101
Fax Number
831-525-8130
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1332581218 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
641 Broadway St
City
State
Zip
93930-3231
Phone Number
831-525-8101
Fax Number
831-525-8130
person
Provider Business Mailing Address Details
Address
641 Broadway St
City
State
Zip
93930-3231
Phone Number
831-525-8101
Fax Number
831-525-8130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1332581218 (California)
Definition
Definition to come...
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