Individual
ALBERT CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
102 S 11TH ST, SAN JOSE, CA 95112-2132
(408) 998-5191
Mailing address
611 KIELY BLVD, SANTA CLARA, CA 95051
(408) 510-9409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
09/22/2017
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