Individual provider · Type 1 NPI
Luis Raul Iglesias Jr.
Addiction (Substance Use Disorder) Counselor · San Bruno, CA
NPI number
1013426022
Active
Practice location
1001 Sneath Ln Ste 210
San Bruno, CA 94066-2349
Fax (650) 763-2366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013426022
Luis Raul Iglesias Jr.'s National Provider Identifier is 1013426022, issued on Sep 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bruno, CA. The record was last updated on Jun 28, 2018.