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1510 S Coast Hwy Oceanside CA 92054-5355 | |
(949) 939-9222 | |
(866) 929-6316 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1510 S Coast Hwy, Oceanside, California |
Authorized Official Name and Position | Keith Angelin (LICENSED ALCOHOL AND DRUG COUNSELOR) |
Authorized Official Contact | 9499399222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1510 S Coast Hwy Oceanside CA 92054-5355 Ph: (949) 939-9222 | 1510 S Coast Hwy Oceanside CA 92054-5355 Ph: (949) 939-9222 |
NPI Number | 1366977217 |
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Provider Enumeration Date | 04/28/2017 |
Last Update Date | 04/28/2017 |
Identifier | Type | State | Issuer |
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1366977217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LR02541116 (California) | Primary |
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