Individual provider · Type 1 NPI
Victoria Maxwell, LAADC-CA
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1811230634
Active
Practice location
2970 Market Street
San Diego, CA 92102
Fax (206) 323-0933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60316188 (WA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCI2300518 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1811230634
Victoria Maxwell, LAADC-CA's National Provider Identifier is 1811230634, issued on Mar 29, 2013. 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 Dec 10, 2018.