Carrasco, Adrian Jacob

Carrasco, Adrian Jacob is an sole proprietor health care provider with primary practice located at 1738 N Waterman Ave Ste 1 , San Bernardino CA 92404-5131. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Carrasco, Adrian Jacob can be contacted via phone (909) 693-3302.

Contact Information

Primary practice address
1738 N Waterman Ave Ste 1 San Bernardino CA 92404-5131
Phone: (909) 693-3302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2110806-I California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Community Health Worker 172V00000X California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1366940579
LBN Legal business name Carrasco, Adrian Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2018
Last updated Jun 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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