Kaleigh Elizabeth Prahm
Counselor, Addiction (Substance Use Disorder) in San Diego, CA. Individual provider (NPI-1).
NPI number1114487543
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1114487543
- Entity type
- Individual (NPI-1)
- Name
- Kaleigh Elizabeth Prahm
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2225 River Run Dr Apt 2106San Diego, CA 92108-5825
Phone 619-917-4505
Mailing address
2225 River Run Dr Apt 2106San Diego, CA 92108-5825
Phone 619-917-4505
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