Maria del Carmen Amezcua

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

NPI 1295089993 · NPPES record last updated Nov 1, 2012

Key facts

NPI
1295089993
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
680 W Main St
El Centro, CA 92243-2920
Phone
(760) 482-0864
Fax
(760) 482-9185
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

680 W Main St
El Centro, CA 92243-2920

Mailing address

680 W Main St
El Centro, CA 92243-2920
Phone (760) 482-0864

Other providers in El Centro, CA

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

Sources for this page

Verify at the official NPI Registry.