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

Clyde Ellis Virges, CADCII09181953

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134428162

Clyde Ellis Virges, CADCII09181953 is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

614 Tully Rd
San Jose, CA 95111-1048
Phone: (408) 977-1591
Fax: (408) 977-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence E0312796 (CA)

Record details

NPI number1134428162
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII09181953
Sole proprietorYes
NPI enumeratedMarch 16, 2011
Last updated in NPPESMarch 16, 2011

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