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Joaquin Aguirre Jr., LAADC

Counselor, Addiction (Substance Use Disorder) in San Jose, CA. Individual provider (NPI-1).

NPI number1164548350
StatusActive
Last updated in NPPESMay 13, 2022

Details

NPI
1164548350
Entity type
Individual (NPI-1)
Name
Mr. Joaquin Aguirre Jr.
Credential
LAADC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2007
Certification date
May 13, 2022
Last updated
May 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)A8469304CAYes
101YA0400X Counselor, Addiction (Substance Use Disorder)LCi02670315CA
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Phone 408-287-6200 · Fax 408-998-1535

Mailing address

21850 Belleview Rd Spc 57
Sonora, CA 95370-9651

Phone 408-396-8638

Other practice locations

2345 Mather Dr
San Jose, CA 95116-1716

Phone 408-937-7086

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