Individual provider · Type 1 NPI

Ryan Charles Longworth

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

NPI number 1740157742 Active

Practice location

835 25th St
San Diego, CA 92102-2738

Call (619) 239-9691 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1740157742

Ryan Charles Longworth's National Provider Identifier is 1740157742, issued on Oct 22, 2025. 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 Oct 22, 2025.