Individual provider · Type 1 NPI

Marissa Sandoval, SUD RC #15775

Addiction (Substance Use Disorder) Counselor · Escondido, CA

NPI number 1841979481 Active

Practice location

161 N Date St
Escondido, CA 92025-3405

Call (760) 745-7786 Map

Fax (760) 745-1061

Mailing address

20135 Ross Rd
Wildomar, CA 92595-8273

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 1841979481

Marissa Sandoval, SUD RC #15775's National Provider Identifier is 1841979481, issued on Jul 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escondido, CA. The record was last updated on Jul 12, 2023.