Individual provider · Type 1 NPI

Khalil Mateen-Faruq

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

NPI number 1811317100 Active

Practice location

4001 El Cajon Blvd Ste 206
San Diego, CA 92105-1111

Call (619) 280-2300 Map

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

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 1811317100

Khalil Mateen-Faruq's National Provider Identifier is 1811317100, issued on Apr 24, 2014. 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 Apr 24, 2014.