Basic Information
| Provider Information | |||||||||
| NPI: | 1659504157 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NZEUSSEU | ||||||||
| FirstName: | ADELAIDE | ||||||||
| MiddleName: | FANDIO | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSW, PPSC, ACSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2730 SALVIO ST | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945192599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256870374 | ||||||||
| FaxNumber: | 9256097617 | ||||||||
| Practice Location | |||||||||
| Address1: | 1026 OAK GROVE RD | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945183289 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256828000 | ||||||||
| FaxNumber: | 9256097617 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2009 | ||||||||
| LastUpdateDate: | 08/31/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.