Vicente Jesus Alfaro
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Merced, CA
NPI 1629584073 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1629584073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1343 W Main St Ste a&B
Merced, CA 95340-4438 - Phone
- (209) 725-1060
- NPI assigned
- Dec 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1343 W Main St Ste a&B
Merced, CA 95340-4438
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (800) 821-0775
Other practice location 1
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (800) 821-0775
Other providers in Merced, CA
- Jocimara Alejandre
- Cheryl Sanchez Alejo
- Ivania Aleman
- Serene Mahima Alexander
- Alfa & Omega Non Emergency Transport Inc
- Hargurbir Alhuwalia
- Farhana Ali
- George Samir Alkhouri
- All Ways Services LLC
- Alazja Geneva Allen
All providers in Merced, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.