Individual provider · Type 1 NPI

Christopher Matthew Poulin

Peer Specialist · San Diego, CA

NPI number 1386450096 Active

Practice location

2952 Cedar St
San Diego, CA 92102-1515

Mailing address

2980 Cedar St
San Diego, CA 92102-1599

Other practice locations

  • 1530 Dale St, San Diego, CA 92102-1519 · (619) 915-5710

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1563390624 (CA)
Peer Specialist Primary 175T00000XNone listed

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 1386450096

Christopher Matthew Poulin's National Provider Identifier is 1386450096, issued on Dec 6, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 5, 2025.