Individual provider · Type 1 NPI

Leonidas Edmundo Carrasco

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1548838568 Active

Practice location

1625 Filbert St
Oakland, CA 94607-2890

Mailing address

3979 Alhambra Ave Apt 211
Martinez, CA 94553-3836

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1548838568

Leonidas Edmundo Carrasco's National Provider Identifier is 1548838568, issued on Jun 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Jun 19, 2023.