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

Irina Tsukanova, CADCI

Individual provider Counselor · NPI 1356982011

Irina Tsukanova, CADCI is a Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

425 E Santa Clara St
San Jose, CA 95113-1936
Phone: (669) 213-1745
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence CI36440922 (CA)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CI36440922 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1356982011
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCI
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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