Raymond J Taboada Jr.
Counselor, Addiction (Substance Use Disorder) in San Bruno, CA. Individual provider (NPI-1).
NPI number1164085304
StatusActive
Last updated in NPPESApr 14, 2019
Details
- NPI
- 1164085304
- Entity type
- Individual (NPI-1)
- Name
- Raymond J Taboada Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2019
- Last updated
- Apr 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
1001 Sneath LnSan Bruno, CA 94066-2308
Phone 650-244-1444
Mailing address
1001 Sneath LnSan Bruno, CA 94066-2308
Phone 650-244-1444
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