JOSE GUADALUPE

SAN MATEO, CA
NPI1548703101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
-- JOSE GUADALUPE
2015 PIONEER CT
SAN MATEO, CA 94403-1781
Phone number: 510-361-9405
Mailing Address
-- JOSE GUADALUPE
23888 CONNECTICUT ST STE 12
HAYWARD, CA 94545-1638
Phone number: 510-361-9405
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