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333 S Juniper St Suite 114 Escondido CA 92025-4924 | |
(858) 610-0438 | |
Not Available |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 333 S Juniper St, Escondido, California |
Authorized Official Name and Position | Will Wooton (DIRECTOR) |
Authorized Official Contact | 8586100438 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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333 S Juniper St Suite 114 Escondido CA 92025-4924 Ph: (858) 610-0438 | 333 S Juniper St Suite 114 Escondido CA 92025-4924 Ph: (858) 610-0438 |
NPI Number | 1073993846 |
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Provider Enumeration Date | 06/05/2015 |
Last Update Date | 06/05/2015 |
Identifier | Type | State | Issuer |
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1073993846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | A017630315 (California) | Primary |
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