Joshua Lee Palmer, A
Counselor, Addiction (Substance Use Disorder) in San Diego, CA. Individual provider (NPI-1).
NPI number1154777084
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1154777084
- Entity type
- Individual (NPI-1)
- Name
- Joshua Lee Palmer
- Credential
- A
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2016
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | A053780219 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CO60153206 | WA |
Practice location
2970 Market StSan Diego, CA 92102-3296
Phone 619-236-9492
Mailing address
12049 World Trade Dr Unit 2San Diego, CA 92128-4680
Phone 206-673-1307
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