Individual provider · Type 1 NPI
Christopher Reilly
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1063074912
Active · reactivated Mar 29, 2022
Practice location
2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C059990419 (CA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | B00001760521 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1063074912
Christopher Reilly's National Provider Identifier is 1063074912, issued on Jul 1, 2019. 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 May 27, 2022.