Individual provider · Type 1 NPI
Marina Pereverzeva
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1053043802
Active
Practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Fax (408) 579-6143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1485070922 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053043802
Marina Pereverzeva's National Provider Identifier is 1053043802, issued on Jun 29, 2022. 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 Dec 21, 2023.