Individual provider · Type 1 NPI

Paul C. Wathern

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

NPI number 1487268462 Active

Practice location

835 25th St
San Diego, CA 92102-2738

Call (619) 239-9691 Map

Fax (619) 239-0909

Mailing address

2980 Cedar St
San Diego, CA 92102-1599

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR139800620 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1393800620 (CA)

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

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About NPI 1487268462

Paul C. Wathern's National Provider Identifier is 1487268462, issued on Sep 7, 2020. 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 Jul 18, 2023.