Individual provider · Type 1 NPI

Elijah Alexander Galvan

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1043996549 Active

Practice location

2202 N 1st St
San Jose, CA 95131-2007

Mailing address

746 N 16th St
San Jose, CA 95112-3026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1512210623 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043996549

Elijah Alexander Galvan's National Provider Identifier is 1043996549, issued on Jun 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jun 27, 2023.