Individual provider · Type 1 NPI

Paul Cornejo

Addiction (Substance Use Disorder) Counselor · Herald, CA

NPI number 1295174472 Active

Practice location

12490 Alta Mesa Rd
Herald, CA 95638-8409

Call (209) 748-2470 Map

Fax (209) 748-5861

Mailing address

500 22nd St
Sacramento, CA 95816-3503

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA022510316 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295174472

Paul Cornejo's National Provider Identifier is 1295174472, issued on Jun 20, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Herald, CA. The record was last updated on Apr 5, 2023.