| Accredited Counseling & Intervention Services, Inc. | |
|
1190 Park Ave Unit B San Jose CA 95126-2913 | |
| (888) 427-8689 | |
| Not Available |
| Full Name | Accredited Counseling & Intervention Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1190 Park Ave Unit B, San Jose, California |
| Authorized Official Name and Position | Scott James Henrywestwood (SUD COUNSELOR, INTERVENTIONIST) |
| Authorized Official Contact | 4082030964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Accredited Counseling & Intervention Services, Inc. 1190 Park Ave Unit B San Jose CA 95126-2913 Ph: (888) 427-8689 | Accredited Counseling & Intervention Services, Inc. 1190 Park Ave Unit B San Jose CA 95126-2913 Ph: (888) 427-8689 |
| NPI Number | 1649636671 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649636671 | NPI | - | NPPES |
| GI-071015 | Other | CA | GATEWAY CORP INC. |
| LCI04531115 | Other | CA | CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS |
| A07540315 | Other | CA | CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCI04531115 (California) | Primary |
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