| Marco Lizarraga, RADT | |
|
1777 Buckman Springs Rd, Campo, CA 91906-2022 | |
| (619) 478-5696 | |
| Not Available |
| Full Name | Marco Lizarraga |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1777 Buckman Springs Rd, Campo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598566200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1602980325 (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | CMAC-8054 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Lizarraga, RADT 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 | Marco Lizarraga, RADT 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 |
Omar Hernandez, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 | |
Mr. Marco Martinez, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 Fax: 619-478-2404 | |
Tim Shaplin, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 | |
Darin Grant James, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 Fax: 619-478-2404 | |
Chantal Camarena, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 Fax: 619-478-2404 | |
Mr. Kyle Andrew Jordan, CADC II, ICADC, AS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 Fax: 619-478-2404 | |
Andrea Acuna Eyraud, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 Fax: 619-478-2404 |