Individual provider · Type 1 NPI

Donovan Waller Ackley Iii, PH.D. RADT-1

Addiction (Substance Use Disorder) Counselor · El Cajon, CA

NPI number 1154870442 Active

Practice location

1400 N Johnson Ave, 101
El Cajon, CA 92020-1650

Fax (619) 442-1101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1154870442

Donovan Waller Ackley Iii, PH.D. RADT-1's National Provider Identifier is 1154870442, issued on Sep 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Cajon, CA. The record was last updated on Aug 23, 2018.