Doctor Name: | MR. JOSEPH B LOCARIA |
NPI Number: | 1003005398 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | L0412282008 |
Business Practice Address: | 4510 Peralta Blvd Suite 1 Fremont, CA - 945365755 |
Business Phone Number: | 5107133202 |
Business Fax Number: | 5107130684 |
Mailing Address: | 4510 Peralta Blvd, Suite 1 FREMONT |
State: | CA |
Postal Code: | 945365755 |
Phone Number: | 5107133202 |
Fax Number: | 5107130684 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | L0412282008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |