ERNESTINE DEREGO

SAN JOSE, CA
NPI1649540618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
-- ERNESTINE DEREGO CADC
305 SERENO VISTA WAY
SAN JOSE, CA 95116-1574
Phone number: 408-505-4643
Mailing Address
-- ERNESTINE DEREGO CADC
305 SERENO VISTA WAY
SAN JOSE, CA 95116-1574
Phone number: 408-505-4643
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