Individual provider · Type 1 NPI
Kevin Edward Cradic, RAC
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1114645017
Active
Practice location
3544 30th St
San Diego, CA 92104-4120
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15861-RAC (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114645017
Kevin Edward Cradic, RAC's National Provider Identifier is 1114645017, issued on Aug 16, 2022. 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 Aug 16, 2022.