Individual provider · Type 1 NPI
Teddeaux Leon Lamoureux Iii
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1336604073
Active
Practice location
6244 El Cajon Blvd Ste 17
San Diego, CA 92115-3918
Fax (619) 287-4146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336604073
Teddeaux Leon Lamoureux Iii's National Provider Identifier is 1336604073, issued on Feb 6, 2019. 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 Feb 6, 2019.