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7800 University Ave Suite A-1 La Mesa CA 91942-4980 | |
| (619) 465-4739 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7800 University Ave, La Mesa, California |
| Authorized Official Name and Position | Jeanne Mcalister (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1400 N Johnson Ave Suite 101 El Cajon CA 92020-1650 Ph: (619) 465-4739 | 7800 University Ave Suite A-1 La Mesa CA 91942-4980 Ph: (619) 465-4739 |
| NPI Number | 1174838700 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174838700 | NPI | - | NPPES |
| 37-8559 | Other | COUNTY PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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