DEJUAN MARCELOS REDWOOD CATC NPI 1730607987

NPI Information

NPI: 1730607987
Provider Name: DEJUAN MARCELOS REDWOOD, CATC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
42 MCLEA CT
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 503-3071
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Dejuan Marcelos Redwood, CATC is an addiction (substance use disorder) counselor in San Francisco, CA. Dejuan Marcelos Redwood, CATC NPI is 1730607987. 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:

42 MCLEA CT
SAN FRANCISCO, CA
ZIP 94103-416
Phone: (415) 503-3071
Fax: (415) 252-8577

The enumeration date for this NPI number is 9/7/2017 and was last updated on 9/7/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1710670	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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