Individual provider · Type 1 NPI
Dominique Ceccon, SUD
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1902562218
Active
Practice location
1250 6th Ave Ste 100
San Diego, CA 92101-4368
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1447821021 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902562218
Dominique Ceccon, SUD's National Provider Identifier is 1902562218, issued on Nov 10, 2021. 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 May 4, 2023.