Individual provider · Type 1 NPI

Coco Decarlo, 08-30-16

Addiction (Substance Use Disorder) Counselor · Garden Valley, CA

NPI number 1083083281 Active

Practice location

5607 Mount Murphy Rd
Garden Valley, CA 95633

Call (530) 333-9460 Map

Mailing address

PO Box 1666
Placerville, CA 95667-1666

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1213050915 (CA)

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

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About NPI 1083083281

Coco Decarlo, 08-30-16's National Provider Identifier is 1083083281, issued on Sep 17, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Garden Valley, CA. The record was last updated on Sep 17, 2015.