Individual provider · Type 1 NPI

Joel Andre Quillin, CADTPII

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1659569812 Active

Practice location

4510 Peralta Blvd, Suite 1
Fremont, CA 94536-5755

Fax (510) 713-0684

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO53180518 (CA)

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

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About NPI 1659569812

Joel Andre Quillin, CADTPII's National Provider Identifier is 1659569812, issued on Oct 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Jan 2, 2025.