John P Aguirre

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI 1538445671 · NPPES record last updated Nov 2, 2011

Key facts

NPI
1538445671
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1904 Richland Ave
Ceres, CA 95307-4562
Phone
(209) 541-2121
NPI assigned
Nov 2, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 541-2121

Other providers in Ceres, CA

All providers in Ceres, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.