Individual provider · Type 1 NPI

Rafael Amaya Gomez

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

NPI number 1902115439 Active

Practice location

4660 Viewridge Ave Ste 100A
San Diego, CA 92123-1638

Call (619) 937-1430 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X112579III (CA)

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About NPI 1902115439

Rafael Amaya Gomez's National Provider Identifier is 1902115439, issued on Oct 1, 2010. 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 Mar 15, 2022.