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Paul Anthony Reyes
Mental Health Counselor in Santa Cruz, California
NPI 1417173998

Paul Anthony Reyes is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Paul Anthony Reyes practices in Santa Cruz, CA. The NPI Number for Paul Anthony Reyes is 1417173998 and holds a License No. (California).

The current practice location address for Paul Anthony Reyes is 126 Front St # A, Santa Cruz, CA and can be reached out via phone at 831-427-9343.

Location: 126 Front St # A, Santa Cruz, CA, 95062-4938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417173998
Provider Name
Paul Anthony Reyes
Credential
Provider Entity Type
Individual
Gender
Male
Address
126 Front St # A, Santa Cruz, CA, 95062-4938
Phone Number
831-427-9343
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44AV 01 CA MEDI-CAL PRV NBR
institution
Provider Business Practice Location Address Details
Address
126 Front St # A
City
Santa Cruz
State
California
Zip
95060-4402
Phone Number
831-427-9343
Fax Number
person
Provider Business Mailing Address Details
Address
126 Front St # A
City
Santa Cruz
State
California
Zip
95060-4402
Phone Number
831-427-9343
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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