Individual provider · Type 1 NPI

Destiny Unique Childress

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

NPI number 1124870159 Active

Practice location

4141 Pacific Hwy
San Diego, CA 92110-2030

Call (619) 393-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1124870159

Destiny Unique Childress's National Provider Identifier is 1124870159, issued on Apr 3, 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 Sep 5, 2024.