Individual provider · Type 1 NPI
Jose Carlos Fontanillo, SUDRC
Addiction (Substance Use Disorder) Counselor · Salinas, CA
NPI number
1669119533
Active
Practice location
11 Peach Dr
Salinas, CA 93901-3710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13066 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669119533
Jose Carlos Fontanillo, SUDRC's National Provider Identifier is 1669119533, issued on May 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salinas, CA. The record was last updated on May 12, 2022.