Individual provider · Type 1 NPI

Kevin Douglas Halligan

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

NPI number 1972461614 Active

Practice location

1501 Imperial Ave
San Diego, CA 92101-7638

Call (541) 480-6643 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15876 (CA)

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

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About NPI 1972461614

Kevin Douglas Halligan's National Provider Identifier is 1972461614, issued on Jan 12, 2026. 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 Jan 20, 2026.