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1922420504
ALBERT CARRASCO
SAN JOSE, CA
NPI
1922420504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-15
Last Update Date
2017-09-22
Business Address
-- ALBERT CARRASCO CADC II
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
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Mailing Address
-- ALBERT CARRASCO CADC II
611 KIELY BLVD
SANTA CLARA, CA 95051
Phone number: 408-510-9409
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