ELISEO AMEZCUA

SAN MATEO, CA
NPI1033345244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies106H00000X Marriage & Family Therapist
Enumeration Date2009-06-02
Last Update Date2024-02-20
Business Address
ELISEO AMEZCUA MA
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403-1222
Phone number: 650-573-2302
Mailing Address
ELISEO AMEZCUA MA
310 HARBOR BLVD BLDG C
BELMONT, CA 94002-4018
Phone number: 650-372-3208