Individual provider · Type 1 NPI

Jorge Graciano Heredia

Addiction (Substance Use Disorder) Counselor · Redwood City, CA

NPI number 1619859931 Active

Practice location

500 Allerton St Fl 2
Redwood City, CA 94063-1519

Call (650) 599-9955 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619859931

Jorge Graciano Heredia's National Provider Identifier is 1619859931, issued on Jul 25, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redwood City, CA. The record was last updated on Jul 25, 2025.