Individual provider · Type 1 NPI

Michael Colorado

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

NPI number 1780505834 Active

Practice location

823 Gateway Center Way
San Diego, CA 92102-4541

Call (619) 322-7578 Map

Fax (619) 322-7578

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA7090903 (CA)

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

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About NPI 1780505834

Michael Colorado's National Provider Identifier is 1780505834, issued on Jul 23, 2026. 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 23, 2026.