Individual provider · Type 1 NPI

Irina Tsukanova, CADC I

Rehabilitation Practitioner · San Jose, CA

NPI number 1356982011 Active

Practice location

210 N 4th St
San Jose, CA 95112-5569

Call (669) 245-3429 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XCI36440922 (CA)
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XCI36440922 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1356982011

Irina Tsukanova, CADC I's National Provider Identifier is 1356982011, issued on Oct 3, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Sep 25, 2026.