Amy Sue Urrabazo, SUDCC II
Counselor, Addiction (Substance Use Disorder) in San Jose, CA. Individual provider (NPI-1).
NPI number1508281189
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1508281189
- Entity type
- Individual (NPI-1)
- Name
- Amy Sue Urrabazo
- Credential
- SUDCC II
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2014
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
298 Bernal RdSan Jose, CA 95119-1809
Phone 800-488-9919
Mailing address
1131 Nez Perce DrHollister, CA 95023-6719
Phone 831-223-3035
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