Individual provider · Type 1 NPI

Eyob Fantay, RADT

Addiction (Substance Use Disorder) Counselor · Chula Vista, CA

NPI number 1639884133 Active

Practice location

73 N 2nd Ave Ste B
Chula Vista, CA 91910-1124

Fax (619) 426-0034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1448371021 (CA)

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

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About NPI 1639884133

Eyob Fantay, RADT's National Provider Identifier is 1639884133, issued on Jan 18, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chula Vista, CA. The record was last updated on Jan 18, 2023.