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1265194534
ISABELLE BALLESTEROS
SANTA CRUZ, CA
NPI
1265194534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12385)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
ISABELLE BALLESTEROS SUD RC
1000 EMELINE AVE STE A
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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Mailing Address
ISABELLE BALLESTEROS SUD RC
1000 EMELINE AVE STE A
SANTA CRUZ, CA 95060-1900
Phone number:
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