Individual provider · Type 1 NPI

William Dominic De la Rosa, SUDRC

Peer Specialist · Oceanside, CA

NPI number 1336906502 Active

Practice location

3230 Waring Ct Ste A
Oceanside, CA 92056-4509

Call (760) 305-7528 Map

Fax (760) 509-4410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17438 (CA)
Peer Specialist Primary 175T00000XMPSS-YVNQJW (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1336906502

William Dominic De la Rosa, SUDRC's National Provider Identifier is 1336906502, issued on Mar 4, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oceanside, CA. The record was last updated on Feb 13, 2025.