Richard Acaccia
Counselor, Addiction (Substance Use Disorder) in San Jose, CA. Individual provider (NPI-1).
NPI number1003231051
StatusActive
Last updated in NPPESFeb 27, 2014
Details
- NPI
- 1003231051
- Entity type
- Individual (NPI-1)
- Name
- Richard Acaccia
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2014
- Last updated
- Feb 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | RW5196 | CA | Yes |
Practice location
650 S Bascom AveSan Jose, CA 95128-2601
Phone 408-283-8555 · Fax 408-279-4825
Mailing address
650 S Bascom AveSan Jose, CA 95128-2601
Phone 408-283-8555 · Fax 408-279-4825
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