Sean Duquay Abair Sr.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Taft, CA

NPI 1174084347 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1174084347
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1021 4TH St
Taft, CA 93268-2433
Phone
(661) 765-7025
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
College Community Services Past
since Jul 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X CA Yes
Community Health Worker 172V00000X

Addresses

Primary practice location

1021 4TH St
Taft, CA 93268-2433

Mailing address

1021 4TH St Ste B
Taft, CA 93268-2433
Phone (661) 765-7025

Other providers in Taft, CA

All providers in Taft, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.