Randy Valderrama
Counselor, Addiction (Substance Use Disorder) in San Diego, CA. Individual provider (NPI-1).
NPI number1265699987
StatusActive
Last updated in NPPESJul 22, 2011
Details
- NPI
- 1265699987
- Entity type
- Individual (NPI-1)
- Name
- Randy Valderrama
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2008
- Last updated
- Jul 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1212 S 43rd StSuite#c
San Diego, CA 92113-3454
Phone 619-263-7768 · Fax 619-262-5040
Mailing address
1212 S 43rd StSuite#c
San Diego, CA 92113-3454
Phone 619-263-7768 · Fax 619-262-5040
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