Individual provider · Type 1 NPI

Jade Maria Tiaba

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

NPI number 1366390700 Active

Practice location

1031 25th St
San Diego, CA 92102-2102

Call (619) 232-6454 Map

Mailing address

7410 Lime St Apt A
La Mesa, CA 91941-7671

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 1366390700

Jade Maria Tiaba's National Provider Identifier is 1366390700, issued on Mar 20, 2026. 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 Mar 20, 2026.