Clyde Ellis Virges, CADC II09181953 is an addiction (substance use disorder) counselor in San Jose, CA. Clyde Ellis Virges, CADC II09181953 NPI is 1134428162. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
614 TULLY RD
SAN JOSE, CA
ZIP 95111-048
Phone: (408) 977-1591
Fax: (408) 977-1136
The enumeration date for this NPI number is 3/16/2011 and was last updated on 3/16/2011.