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Raven Xochiquetzal Soltero
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1255035838

Raven Xochiquetzal Soltero is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Raven Xochiquetzal Soltero practices in San Diego, CA. The NPI Number for Raven Xochiquetzal Soltero is 1255035838 and holds a License No. (California).

The current practice location address for Raven Xochiquetzal Soltero is 6145 Imperial Ave, San Diego, CA and can be reached out via phone at 619-234-8888.

Location: 6145 Imperial Ave, San Diego, CA, 92114-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255035838
Provider Name
Raven Xochiquetzal Soltero
Credential
Provider Entity Type
Individual
Gender
Female
Address
6145 Imperial Ave, San Diego, CA, 92114-4213
Phone Number
619-234-8888
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6145 Imperial Ave
City
San Diego
State
California
Zip
92114-4213
Phone Number
619-234-8888
Fax Number
person
Provider Business Mailing Address Details
Address
6145 Imperial Ave
City
San Diego
State
California
Zip
92114-4213
Phone Number
619-234-8888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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