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NPI Code Detail

MEDICARE: BRIAN RIOUX CADC-II

MEDICARE: BRIAN RIOUX CADC-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YA0400XAddiction (Substance Use Disorder) CounselorA043500117CA

General Provider Information

NPI Number : 1518248228
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN RIOUX CADC-II
Provider Business Mailing Address
First Line : 1550 JULIESSE AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-1803
Country : US
Telephone Number : 916-921-6598
Fax Number : 916-880-5249
Provider Business Practice Location Address
First Line : 11228 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-5139
Country : US
Telephone Number : 916-962-2800
Fax Number : 916-962-2824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 03/27/2024

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Directions to “ BRIAN RIOUX CADC-II” Practice Location

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