Doctor Name: | MR. JOSE DEMETRIO SIC CUA |
NPI Number: | 1134378094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1814 Franklin St Fl 4 Oakland, CA - 946123487 |
Business Phone Number: | 5102716077 |
Business Fax Number: | |
Mailing Address: | 1814 Franklin St Fl 4, OAKLAND |
State: | CA |
Postal Code: | 946123487 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |