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Willie R Meadows, SUD Counselor

Counselor, Addiction (Substance Use Disorder) in San Diego, CA. Individual provider (NPI-1).

NPI number1003690751
StatusActive
Last updated in NPPESAug 23, 2023

Details

NPI
1003690751
Entity type
Individual (NPI-1)
Name
Willie R Meadows
Credential
SUD Counselor
Sex
Male
Sole proprietor
No
Enumeration date
Aug 23, 2023
Certification date
Aug 23, 2023
Last updated
Aug 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)15171CAYes

Other names

  • Willie R Meadows (Professional Name)

Practice location

4660 El Cajon Blvd Ste 210
San Diego, CA 92115-4466

Phone 619-597-7335 · Fax 619-642-2735

Mailing address

4660 El Cajon Blvd Ste 210
San Diego, CA 92115-4466

Phone 619-597-7335 · Fax 619-642-2735

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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