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Individual

CHRISTOPHER REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B00001760521
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C059990419
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator
CA

Other

Enumeration date
07/01/2019
Last updated
05/27/2022
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