person
Peter Charles Cusimano, LAADC,MATS,SAP
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1124398987

Peter Charles Cusimano is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Peter Charles Cusimano practices in San Jose, CA and has the professional credentials of LAADC,MATS,SAP. The NPI Number for Peter Charles Cusimano is 1124398987 and holds a License No. LR01660815 (California).

The current practice location address for Peter Charles Cusimano is 999 W Taylor St Ste B, San Jose, CA and can be reached out via phone at 650-669-1578 and via fax at 650-648-1654.

Location: 999 W Taylor St Ste B, San Jose, CA, 95065-1909
person
Provider Profile Details
NPI Number
1124398987
Provider Name
Peter Charles Cusimano
Credential
LAADC,MATS,SAP
Provider Entity Type
Individual
Gender
Male
Address
999 W Taylor St Ste B, San Jose, CA, 95065-1909
Phone Number
650-669-1578
Fax Number
650-648-1654
Provider Enumeration Date
01/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
999 W Taylor St Ste B
City
State
Zip
95126-1861
Phone Number
650-669-1578
Fax Number
650-648-1654
person
Provider Business Mailing Address Details
Address
999 W Taylor St Ste B
City
State
Zip
95126-1861
Phone Number
650-669-1578
Fax Number
650-648-1654
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LR01660815 (California)
Definition
Definition to come...
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