Individual provider · Type 1 NPI

Jesus Estrada Lopez Jr., SUDRC

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

NPI number 1811860281 Active

Practice location

835 25th St
San Diego, CA 92102-2738

Mailing address

4526 Illinois St Apt 14A
San Diego, CA 92116-4371

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21593 (CA)

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

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About NPI 1811860281

Jesus Estrada Lopez Jr., SUDRC's National Provider Identifier is 1811860281, issued on Sep 24, 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 Sep 24, 2025.