Individual
ADRIAN JACOB CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1738 N WATERMAN AVE STE 1, SAN BERNARDINO, CA 92404-5131
(909) 693-3302
Mailing address
1076 SANTO ANTONIO DR STE B, COLTON, CA 92324-8183
(909) 433-9824
(909) 433-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2110806-I
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
01/23/2018
Last updated
05/09/2025
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