person
Edgar Gabriel Bueno
Addiction (Substance Use Disorder) Counselor in Santa Maria, California
NPI 1891320248

Edgar Gabriel Bueno is an Addiction (Substance Use Disorder) Counselor based in Santa Maria, CA and is specialized in Addiction (Substance Use Disorder). Edgar Gabriel Bueno practices in Santa Maria, CA. The NPI Number for Edgar Gabriel Bueno is 1891320248 and holds a License No. (California).

The current practice location address for Edgar Gabriel Bueno is 1414 S Miller St Ste 11, Santa Maria, CA and can be reached out via phone at 805-739-1512 and via fax at 805-739-2855.

Location: 1414 S Miller St Ste 11, Santa Maria, CA, 93454-6916
person
Provider Profile Details
NPI Number
1891320248
Provider Name
Edgar Gabriel Bueno
Credential
Provider Entity Type
Individual
Gender
Male
Address
1414 S Miller St Ste 11, Santa Maria, CA, 93454-6916
Phone Number
805-739-1512
Fax Number
805-739-2855
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
261QRO405X 05 CA
institution
Provider Business Practice Location Address Details
Address
1414 S Miller St Ste 11
City
State
Zip
93454-6916
Phone Number
805-739-1512
Fax Number
805-739-2855
person
Provider Business Mailing Address Details
Address
1414 S Miller St Ste 11
City
State
Zip
93454-6916
Phone Number
805-739-1512
Fax Number
805-739-2855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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