Individual provider · Type 1 NPI

Jose Cordero, CADC-II

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1215447768 Active

Practice location

4445 Burns Ave
Los Angeles, CA 90029-2702

Mailing address

14153 Whispering Sands Dr
Victorville, CA 92392-5000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X168837I (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII056390518 (CA)

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About NPI 1215447768

Jose Cordero, CADC-II's National Provider Identifier is 1215447768, issued on Oct 10, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 7, 2022.