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Mercy Quinquileria Jaravata

Counselor, Addiction (Substance Use Disorder) in Oxnard, CA. Individual provider (NPI-1).

NPI number1124179072
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124179072
Entity type
Individual (NPI-1)
Name
Mercy Quinquileria Jaravata
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2055 Saviers Rd
Oxnard, CA 93033-3608

Phone 805-483-2253 · Fax 805-483-2255

Mailing address

Po Box 20055
Oxnard, CA 93034-0055

Phone 805-483-2253 · Fax 805-483-2255

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