Individual provider · Type 1 NPI

Ilan Pereira-Martinez

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1053169680 Active

Practice location

4660 El Cajon Blvd Ste 210
San Diego, CA 92115-4466

Call (619) 597-7335 Map

Mailing address

7592 Charmant Dr Apt 2026
San Diego, CA 92122-5080

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14087 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053169680

Ilan Pereira-Martinez's National Provider Identifier is 1053169680, issued on May 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on May 8, 2024.