Individual provider · Type 1 NPI
Aleksey Derevyanchuk, CADC II
Addiction (Substance Use Disorder) Counselor · Fair Oaks, CA
NPI number
1306435797
Active
Practice location
5150 Sunrise Blvd Ste F4
Fair Oaks, CA 95628-4964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | A058671120 (CA) |
| Mental Health Counselor | 101YM0800X | A058671120 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A058671120 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306435797
Aleksey Derevyanchuk, CADC II's National Provider Identifier is 1306435797, issued on Jan 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fair Oaks, CA. The record was last updated on Jan 31, 2022.