| Doctor Name: | MS. ELENITA MATUGUINA ANTONIO |
| NPI Number: | 1033392451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CAS REG #1826 |
| Business Practice Address: | 517 S Main St Ste 102 Salinas, CA - 939013307 |
| Business Phone Number: | 8317536001 |
| Business Fax Number: | 8317536007 |
| Mailing Address: | 517 S Main St Ste 102, SALINAS |
| State: | CA |
| Postal Code: | 939013307 |
| Phone Number: | 8317536001 |
| Fax Number: | 8317536007 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAS REG #1826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |