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Jose Carlos Fontanillo, SUDRC
Addiction (Substance Use Disorder) Counselor in Salinas, California
NPI 1669119533

Jose Carlos Fontanillo is an Addiction (Substance Use Disorder) Counselor based in Salinas, CA and is specialized in Addiction (Substance Use Disorder). Jose Carlos Fontanillo practices in Salinas, CA and has the professional credentials of SUDRC. The NPI Number for Jose Carlos Fontanillo is 1669119533 and holds a License No. 13066 (California).

The current practice location address for Jose Carlos Fontanillo is 11 Peach Dr, Salinas, CA and can be reached out via phone at 408-661-1647.

Location: 11 Peach Dr, Salinas, CA, 93901-3710
person
Provider Profile Details
NPI Number
1669119533
Provider Name
Jose Carlos Fontanillo
Credential
SUDRC
Provider Entity Type
Individual
Gender
Male
Address
11 Peach Dr, Salinas, CA, 93901-3710
Phone Number
408-661-1647
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13066 01 CA SUDRC
institution
Provider Business Practice Location Address Details
Address
11 Peach Dr
City
State
Zip
93901-3710
Phone Number
408-661-1647
Fax Number
person
Provider Business Mailing Address Details
Address
11 Peach Dr
City
State
Zip
93901-3710
Phone Number
408-661-1647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13066 (California)
Definition
Definition to come...
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