Individual provider · Type 1 NPI

Ernestine Derego, CADC

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1649540618 Active

Practice location

305 Sereno Vista Way
San Jose, CA 95116-1574

Call (408) 505-4643 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 1649540618

Ernestine Derego, CADC's National Provider Identifier is 1649540618, issued on Jan 9, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jan 9, 2012.