CLYDE VIRGES, CADC II09181953

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1134428162

Practice Address

614 TULLY RD
San Jose, CA 95111

Phone: (408) 977-1591

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes E0312796 (CA)

Frequently Asked Questions

NPI 1134428162 is the National Provider Identifier for CLYDE VIRGES, CADC II09181953, a Counselor - Addiction (Substance Use Disorder) provider located in San Jose, CA. This NPI was enumerated on March 16, 2011.
CLYDE VIRGES, CADC II09181953 practices at 614 TULLY RD, San Jose, CA 95111.

Quick Facts

NPI
1134428162
Type
Individual
Enumerated
Mar 16, 2011
Last Updated
Mar 16, 2011

Nearby Providers