Individual provider · Type 1 NPI

Vaishvi D. Ebrado

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1093365892 Active

Practice location

3155 Kearney St Ste 150
Fremont, CA 94538-2285

Mailing address

PO Box 5157
Modesto, CA 95352-5157

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17010 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1492971222 (CA)
Behavior Technician 106S00000XNone listed

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About NPI 1093365892

Vaishvi D. Ebrado's National Provider Identifier is 1093365892, issued on Sep 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Feb 5, 2026.