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RICHARD ACACCIA

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1003231051

Individual Registrant:
 RICHARD  ACACCIA 
Gender: M
Sole Proprietor

Location and contact information for practice:
650 S BASCOM AVE  SAN JOSE, CA 95128-2601 US
Tel: 408-283-8555  Fax: 408-279-4825

Contact information for business:
650 S BASCOM AVE  SAN JOSE, CA 95128-2601 US
Tel: 408-283-8555  Fax: 408-279-4825

Registration Information:
NPI: 1003231051
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CARW5196

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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