TIFFANY JASSO RADT
NPI 1497412266
Counselor - Addiction (Substance Use Disorder) in San Jose, CA
Active since November 29, 2021
9505 MALECH RD, PARISI HOUSE ON THE HILL, SAN JOSE, CA 95138(408) 281-6560(408) 281-6564 Get Directions Write a Review
About Tiffany Jasso Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY JASSO RADT (NPI 1497412266) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (R1252580517) and active in the NPI registry since November 2021.
NPPES Registry Identity
NPI1497412266
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTIFFANY JASSOCredential: RADT
Location Address9505 MALECH RD, PARISI HOUSE ON THE HILLSan Jose, CA 95138
Mailing Address117 Bernal Rd Ste 70San Jose, CA 95119-1375 · (408) 281-6560 · Fax (408) 281-6564
Phone(408) 281-6560
Fax(408) 281-6564
Sole ProprietorYes
Enumeration DateNovember 29, 2021
NPPES CertifiedNovember 5, 2021
✔ NPI 1497412266 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1252580517
9505 MALECH RD, San Jose, CA 95138
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497412266, enumerated as an "individual" on November 29, 2021.
The provider is located at 9505 MALECH RD PARISI HOUSE ON THE HILL SAN JOSE, CA 95138 and the phone number is (408) 281-6560.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
