State Health Care Dual Diagnosis

NPI #1043265044 in Visalia, California

Provider Information

NPI Number: 1043265044
Entity Type: Organization
Organization Name: State Health Care Dual Diagnosis
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4042 S DEMAREE ST
City: Visalia
State: California
ZIP Code: 93277-9476
Phone: (310) 628-9512

Authorized Official

Name: MS. EDNA ELIZABETH MILLER
Title: PRESIDENT
Phone: (310) 628-9512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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