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Randy Valderrama
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1265699987

Randy Valderrama is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Randy Valderrama practices in San Diego, CA. The NPI Number for Randy Valderrama is 1265699987 and holds a License No. (California).

The current practice location address for Randy Valderrama is 1212 S 43Rd St, San Diego, CA and can be reached out via phone at 619-263-7768 and via fax at 619-262-5040.

Location: 1212 S 43Rd St, San Diego, CA, 92113-3454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265699987
Provider Name
Randy Valderrama
Credential
Provider Entity Type
Individual
Gender
Male
Address
1212 S 43Rd St, San Diego, CA, 92113-3454
Phone Number
619-263-7768
Fax Number
619-262-5040
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 S 43Rd St
City
San Diego
State
California
Zip
92113-3454
Phone Number
619-263-7768
Fax Number
619-262-5040
person
Provider Business Mailing Address Details
Address
1212 S 43Rd St
City
San Diego
State
California
Zip
92113-3454
Phone Number
619-263-7768
Fax Number
619-262-5040
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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