Provider Demographics
NPI:1598899106
Name:CAHILL, JOHN A (CAS II)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:CAHILL
Suffix:
Gender:M
Credentials:CAS II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:43500 RIDGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3624
Mailing Address - Country:US
Mailing Address - Phone:951-294-5871
Mailing Address - Fax:951-294-5805
Practice Address - Street 1:43500 RIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3624
Practice Address - Country:US
Practice Address - Phone:951-294-5871
Practice Address - Fax:951-294-5805
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01-034424101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)