MARY ELISE DUZAK NPI 1851916423

NPI Information

NPI: 1851916423
Provider Name: MARY ELISE DUZAK
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
298A BERNAL ROAD
SAN JOSE, CA
ZIP 95119
Phone: (408) 780-0755
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Mary Elise Duzak is an addiction (substance use disorder) counselor in San Jose, CA. Mary Elise Duzak NPI is 1851916423. 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:

298A BERNAL ROAD
SAN JOSE, CA
ZIP 95119
Phone: (408) 780-0755

The enumeration date for this NPI number is 6/10/2020 and was last updated on 9/13/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician		R1399920820	CALIFORNIA	No
2	183700000X	Pharmacy Technician		T064283	ARIZONA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1399920820	CALIFORNIA	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

NPI Synchronization or Removal

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