IRINA TSUKANOVA, CADC I

Rehabilitation Practitioner

Active Individual
NPI: 1356982011

Practice Address

425 E SANTA CLARA ST
San Jose, CA 95113

Phone: (669) 213-1745

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No CI36440922 (CA)
Rehabilitation Practitioner 225400000X Yes CI36440922 (CA)
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1356982011 is the National Provider Identifier for IRINA TSUKANOVA, CADC I, a Rehabilitation Practitioner provider located in San Jose, CA. This NPI was enumerated on October 3, 2019.
IRINA TSUKANOVA, CADC I practices at 425 E SANTA CLARA ST, San Jose, CA 95113.

Quick Facts

NPI
1356982011
Type
Individual
Enumerated
Oct 3, 2019
Last Updated
Jun 30, 2025

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