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JANEL CORDOVA
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1629511936
Individual Registrant: JANEL CORDOVA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6330 THORNTON AVE NEWARK, CA 94560-3734 US
Tel: 510-792-4357 Fax: 510-745-1693
Tel: 510-792-4357 Fax: 510-745-1693
Contact information for business:
6330 THORNTON AVE NEWARK, CA 94560-3734 US
Tel: 510-792-4357 Fax: 510-745-1693
Tel: 510-792-4357 Fax: 510-745-1693
Registration Information:
NPI: 1629511936
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
