Provider Demographics
NPI:1689724940
Name:DURBIANO, MARIA ANTONIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANTONIA
Last Name:DURBIANO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1719
Mailing Address - Country:US
Mailing Address - Phone:805-967-6263
Mailing Address - Fax:
Practice Address - Street 1:4434 CALLE REAL
Practice Address - Street 2:SHERIFF'S TREATMENT PROGRAM
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1002
Practice Address - Country:US
Practice Address - Phone:805-681-4197
Practice Address - Fax:805-681-4379
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1036101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)