Individual provider · Type 1 NPI
Tracy Wells, CADC-II
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1114134046
Active
Practice location
4690 Genesee Ave
San Diego, CA 92117-3031
Mailing address
13803 Pinkard Way Unit 14
El Cajon, CA 92021-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A2002205 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114134046
Tracy Wells, CADC-II's National Provider Identifier is 1114134046, issued on May 17, 2007. 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 Jul 8, 2007.