Individual provider · Type 1 NPI

Jose Matthew Gavilanes, RADT

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1699240689 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Call (714) 953-9373 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRH0010001222 (CA)

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

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About NPI 1699240689

Jose Matthew Gavilanes, RADT's National Provider Identifier is 1699240689, issued on Oct 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 6, 2023.