Individual provider · Type 1 NPI

Delano Homer Sandusky Jr.

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

NPI number 1992032858 Active

Practice location

3969 4th Ave, Suite 203
San Diego, CA 92103-3165

Mailing address

3969 Fourth Ave.,, Suite 203
San Diego, CA 92103

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 1992032858

Delano Homer Sandusky Jr.'s National Provider Identifier is 1992032858, issued on Nov 12, 2009. 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 Nov 12, 2009.