is a Addiction (substance Use Disorder) in San Diego, California. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1699985531. The last update date is .
's current location address is 3340 Kemper St, San Diego, California. You can contact this provider via phone number 6195238121 and fax number 6195238742. The mailing address for is 3340 Kemper St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 3340 Kemper St, San Diego, California |
Phone Number | 6195238121 |
Fax Number | 6195238742 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1699985531 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 3340 Kemper St |
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City | San Diego |
State | California (CA) |
Post Code | 921104906 |
Phone Number | 6195238121 |
Fax Number | 6195238742 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | RS9983 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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37378100 | CA | -- |
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