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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRADI 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.