ALBERT CARRASCO

SAN JOSE, CA
NPI1922420504
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-15
Last Update Date2017-09-22
Business Address
-- ALBERT CARRASCO CADC II
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
Mailing Address
-- ALBERT CARRASCO CADC II
611 KIELY BLVD
SANTA CLARA, CA 95051
Phone number: 408-510-9409