MR. Edward Mindiola, RADT 1

NPI #1124571179 in Auburn, California

Provider Information

NPI Number
1124571179
Entity Type
Individual
Name
MR. Edward Mindiola, RADT 1
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
RADT 1
Enumeration Date
Jul 26, 2016
Last Updated
Jul 26, 2016

Practice Location

Address
12125 SHALE RIDGE LN
City
Auburn
ZIP Code
95602-8880
Phone
(530) 885-1917

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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