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Elijah Alexander Galvan
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1043996549

Elijah Alexander Galvan is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Elijah Alexander Galvan practices in San Jose, CA. The NPI Number for Elijah Alexander Galvan is 1043996549 and holds a License No. R1512210623 (California).

The current practice location address for Elijah Alexander Galvan is 2202 N 1St St, San Jose, CA and can be reached out via phone at 408-518-1445.

Location: 2202 N 1St St, San Jose, CA, 95112-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043996549
Provider Name
Elijah Alexander Galvan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2202 N 1St St, San Jose, CA, 95112-3026
Phone Number
408-518-1445
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2202 N 1St St
City
San Jose
State
California
Zip
95131-2007
Phone Number
408-518-1445
Fax Number
person
Provider Business Mailing Address Details
Address
2202 N 1St St
City
San Jose
State
California
Zip
95131-2007
Phone Number
408-518-1445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1512210623 (California)
Definition
Definition to come...
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