| Doctor Name: | MR. JOSE MARTIN HUIZAR |
| NPI Number: | 1013162080 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 52952 |
| Business Practice Address: | 117 N B St Lompoc, CA - 934366901 |
| Business Phone Number: | 8057376665 |
| Business Fax Number: | 8057376601 |
| Mailing Address: | 117 N B St, LOMPOC |
| State: | CA |
| Postal Code: | 934366901 |
| Phone Number: | 8057376665 |
| Fax Number: | 8057376601 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 52952 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |