Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adrian Jacob Carrasco

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366940579

Adrian Jacob Carrasco is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
6
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Practice location Address checks out

1738 N Waterman Ave Ste 1
San Bernardino, CA 92404-5131
Phone: (909) 693-3302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1076 Santo Antonio Dr, Colton, CA 92324-8103 — (909) 433-9824

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2110806-I (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Community Health Worker Taxonomy 172V00000X (CA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1366940579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 23, 2018
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

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