Individual provider · Type 1 NPI
Anthony McCrory
Substance Abuse Rehabilitation Facility · San Mateo, CA
NPI number
1053967661
Active
Practice location
900 Laurel Ave
San Mateo, CA 94401-4211
Mailing address
307 San Anselmo Ave S
San Bruno, CA 94066-5518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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- Edgardo Omar Paz NahAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1043879026
- Jason Lawrence JonesAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1578026829
- Jean O'RourkeAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1245137090
- Makayla CowanAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1467803635
- Paulette DowAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1861930885
- Sarona T. FaataiAddiction (Substance Use Disorder) Counselor San Mateo, CA NPI 1518474840
About NPI 1053967661
Anthony McCrory's National Provider Identifier is 1053967661, issued on Aug 11, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Mateo, CA. The record was last updated on Aug 11, 2019.