Clyde Ellis Virges, CADCII1953
Clyde Ellis Virges, CADCII1953 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 RdSan Jose, CA 95111-1048
Phone: (408) 977-1591
Fax: (408) 977-1136
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence E0312796 (CA) |
|---|
Record details
| NPI number | 1134428162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADCII1953 |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2011 |
| Last updated in NPPES | September 29, 2026 |
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