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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Marriage & Family Therapist 106H00000XNone listed

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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.