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ERNESTINE DEREGO CADC NPI 1649540618


NPI Information

NPI: 1649540618
Provider Name: ERNESTINE DEREGO, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
305 SERENO VISTA WAY
SAN JOSE, CA
ZIP 95116
Phone: (408) 505-4643
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Ernestine Derego, CADC is an addiction (substance use disorder) counselor in San Jose, CA. Ernestine Derego, CADC NPI is 1649540618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 SERENO VISTA WAY
SAN JOSE, CA
ZIP 95116-574
Phone: (408) 505-4643

The enumeration date for this NPI number is 1/9/2012 and was last updated on 1/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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