Individual provider · Type 1 NPI
Lisa A. Rayo
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1194841288
Active
Practice location
9505 Malech Dr
San Jose, CA 95138-2002
Mailing address
1171 Culligan Blvd
San Jose, CA 95120-2840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RADI I8545305 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194841288
Lisa A. Rayo's National Provider Identifier is 1194841288, issued on Mar 21, 2007. 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 Jul 8, 2007.