Individual provider · Type 1 NPI

Jim Polido Joaquin, SUD COUNSELOR

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

NPI number 1386103018 Active

Practice location

3539 College Ave
San Diego, CA 92115-7032

Call (619) 818-3788 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA6231212 (CA)

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

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About NPI 1386103018

Jim Polido Joaquin, SUD COUNSELOR's National Provider Identifier is 1386103018, issued on Mar 12, 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 Mar 12, 2019.