Individual provider · Type 1 NPI

Reyna Marie Roman

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1780413385 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Mailing address

5045 63rd St
San Diego, CA 92115-2546

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-WSDOEG (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19433 (CA)

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

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About NPI 1780413385

Reyna Marie Roman's National Provider Identifier is 1780413385, issued on Jul 31, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Jul 22, 2026.