Individual provider · Type 1 NPI

Karen Diega Faddis, SUDCC II

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

NPI number 1053823385 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Call (619) 683-3100 Map

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020

Other practice locations

  • 1365 N Johnson Ave Ste 111, El Cajon, CA 92020 · (619) 440-4801

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11452 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1053823385

Karen Diega Faddis, SUDCC II's National Provider Identifier is 1053823385, issued on Oct 26, 2017. 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 Apr 3, 2026.