Individual provider · Type 1 NPI
Peter Charles Cusimano, LAADC, MATS, SAP
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1124398987
Active
Practice location
999 W Taylor St Ste B
San Jose, CA 95126-1861
Fax (650) 648-1654
Mailing address
3100 Stanley Ave
Santa Cruz, CA 95065-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LR01660815 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124398987
Peter Charles Cusimano, LAADC, MATS, SAP's National Provider Identifier is 1124398987, issued on Jan 10, 2012. 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 Jan 11, 2024.