Individual provider · Type 1 NPI
Eliseo Amezcua, MA
Addiction (Substance Use Disorder) Counselor · San Mateo, CA
NPI number
1033345244
Active
Practice location
1950 Alameda De Las Pulgas
San Mateo, CA 94403-1222
Mailing address
310 Harbor Blvd Bldg C
Belmont, CA 94002-4018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033345244
Eliseo Amezcua, MA's National Provider Identifier is 1033345244, issued on Jun 2, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Feb 20, 2024.