Jonathan Dutra

NPI #1982093225 in French Camp, California

Provider Information

NPI Number
1982093225
Entity Type
Individual
Name
Jonathan Dutra
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 9, 2015
Last Updated
Jan 9, 2015

Practice Location

Address
500 W HOSPITAL RD
ZIP Code
95231-9693
Phone
(209) 468-6208

Specialties & Taxonomy Codes

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

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