person
Luis Raul Iglesias JR.
Addiction (Substance Use Disorder) Counselor in San Bruno, California
NPI 1013426022

Luis Raul Iglesias JR. is an Addiction (Substance Use Disorder) Counselor based in San Bruno, CA and is specialized in Addiction (Substance Use Disorder). Luis Raul Iglesias JR. practices in San Bruno, CA. The NPI Number for Luis Raul Iglesias JR. is 1013426022 and holds a License No. (California).

The current practice location address for Luis Raul Iglesias JR. is 1001 Sneath Ln Ste 210, San Bruno, CA and can be reached out via phone at 650-244-1445 and via fax at 650-763-2366.

Location: 1001 Sneath Ln Ste 210, San Bruno, CA, 94066-2349
person
Provider Profile Details
NPI Number
1013426022
Provider Name
Luis Raul Iglesias JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1001 Sneath Ln Ste 210, San Bruno, CA, 94066-2349
Phone Number
650-244-1445
Fax Number
650-763-2366
Provider Enumeration Date
09/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 CA COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1001 Sneath Ln Ste 210
City
State
Zip
94066-2349
Phone Number
650-244-1445
Fax Number
650-763-2366
person
Provider Business Mailing Address Details
Address
1001 Sneath Ln Ste 210
City
State
Zip
94066-2349
Phone Number
650-244-1445
Fax Number
650-763-2366
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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