Individual
MR. DANIEL JONATHAN LANZARIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-CAS C031100215
Contact information
Practice address
550 QUARRY RD FL 3, SAN CARLOS, CA 94070-6221
(650) 421-3502
(650) 598-2860
Mailing address
550 QUARRY RD, 3RD FLOOR, SAN CARLOS, CA 94070
(650) 508-6745
(650) 599-9273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
122789
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C031100215
CA
171M00000X
Case Manager/Care Coordinator
C031100215
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
C031100215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C031100215
CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS - CCAPP
CA
Enumeration date
03/12/2010
Last updated
08/12/2025
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