Individual provider · Type 1 NPI
Peter Ross Ratkovich, CADC-CAS
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1063986529
Active
Practice location
4104 Delta St
San Diego, CA 92113-4113
Fax (619) 264-7274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 370012AN (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1063986529
Peter Ross Ratkovich, CADC-CAS's National Provider Identifier is 1063986529, issued on Jan 17, 2019. 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 Jan 17, 2019.