Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER CHARLES CUSIMANO, LAADC, MATS, SAP
Active Sole ProprietorPETER CHARLES CUSIMANO, LAADC, MATS, SAP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN JOSE, California. NPI 1124398987 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN JOSE, CA
Registration Details
- NPI Number
- 1124398987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2012 (14.581282133502 yrs)
- Last Updated
- Jan 11, 2024
- License
-
LR01660815 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
999 W TAYLOR ST STE BSAN JOSE, CA, 951261861Browse CA providers · Browse ZIP 95126
- Phone
- 6506691578
- Fax
- 6506481654
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. GRISELDA CERVANTEZ | BS | 1508934969 |
| MS. AMANDA ROSE VIERRA | LAADC, MAC, ICCDP | 1558413195 |
| MR. LEE RAY GARDNER JR. | — | 1871635235 |
| ANTHONY MACK | — | 1497882997 |
| MRS. HEATHER D KAECH | — | 1194853648 |
| DONNA MARION DORAN | CADCA | 1881722676 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.