Individual provider · Type 1 NPI

Manuel G. Cordero

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1629343355 Active

Practice location

1735 Enterprise Dr
Fairfield, CA 94533-6822

Call (707) 425-1799 Map

Fax (707) 425-1081

Mailing address

502 Labrador Way
Suisun City, CA 94585-2920

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 1629343355

Manuel G. Cordero's National Provider Identifier is 1629343355, issued on Mar 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Mar 13, 2012.