Individual provider · Type 1 NPI

Randy Valderrama

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

NPI number 1265699987 Active

Practice location

1212 S 43rd St, SUITE#C
San Diego, CA 92113-3454

Call (619) 263-7768 Map

Fax (619) 262-5040

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 1265699987

Randy Valderrama's National Provider Identifier is 1265699987, issued on May 20, 2008. 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 22, 2011.