Provider Demographics
NPI:1871880633
Name:PRADO, STEVE V (RRW)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:V
Last Name:PRADO
Suffix:
Gender:M
Credentials:RRW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16360 MONTEREY RD
Mailing Address - Street 2:150
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5453
Mailing Address - Country:US
Mailing Address - Phone:408-776-1067
Mailing Address - Fax:408-776-8073
Practice Address - Street 1:16360 MONTEREY RD
Practice Address - Street 2:150
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5453
Practice Address - Country:US
Practice Address - Phone:408-776-1067
Practice Address - Fax:408-776-8073
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)