Individual provider · Type 1 NPI

Kimberly Sue Fudge, RADT-II

Addiction (Substance Use Disorder) Counselor · Oceanside, CA

NPI number 1902265127 Active

Practice location

3230 Waring Ct Ste A
Oceanside, CA 92056-4509

Call (760) 305-7528 Map

Fax (760) 509-4410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15060812 (CA)

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

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About NPI 1902265127

Kimberly Sue Fudge, RADT-II's National Provider Identifier is 1902265127, issued on Feb 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oceanside, CA. The record was last updated on Jan 24, 2017.