Individual provider · Type 1 NPI

Lisa Mae White, SUD

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

NPI number 1841319092 Active

Practice location

3340 Kemper St, Suite 105
San Diego, CA 92110-4906

Call (619) 523-8121 Map

Fax (619) 523-8742

Other practice locations

  • 7592 Broadway, Lemon Grove, CA 91945-1604 · (619) 515-2550

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA020360815 (CA)

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

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About NPI 1841319092

Lisa Mae White, SUD's National Provider Identifier is 1841319092, issued on Mar 28, 2007. 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 17, 2023.