person
Imhotep Mustaqeem
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1104220912

Imhotep Mustaqeem is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Imhotep Mustaqeem practices in San Diego, CA. The NPI Number for Imhotep Mustaqeem is 1104220912 and holds a License No. (California).

The current practice location address for Imhotep Mustaqeem is 3336 Steel Street, San Diego, CA and can be reached out via phone at 619-822-7919.

Location: 3336 Steel Street, San Diego, CA, 92113
person
Provider Profile Details
NPI Number
1104220912
Provider Name
Imhotep Mustaqeem
Credential
Provider Entity Type
Individual
Gender
Male
Address
3336 Steel Street, San Diego, CA, 92113
Phone Number
619-822-7919
Fax Number
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3336 Steel Street
City
State
Zip
92113
Phone Number
619-822-7919
Fax Number
person
Provider Business Mailing Address Details
Address
3336 Steel Street
City
State
Zip
92113
Phone Number
619-822-7919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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