Individual provider · Type 1 NPI

Lisa Ann Durant, SUDRC 11432

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

NPI number 1699342675 Active

Practice location

1917 Drescher St
San Diego, CA 92111-6533

Call (619) 530-7528 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11432 (CA)

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

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About NPI 1699342675

Lisa Ann Durant, SUDRC 11432's National Provider Identifier is 1699342675, issued on Jun 8, 2021. 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 Jun 29, 2023.