person
Kevin D. Suratt SR., LAADC-CA
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1316432552

Kevin D. Suratt SR. is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Kevin D. Suratt SR. practices in San Diego, CA and has the professional credentials of LAADC-CA. The NPI Number for Kevin D. Suratt SR. is 1316432552 and holds a License No. LCI04490315 (California).

The current practice location address for Kevin D. Suratt SR. is 726 F St Fl 2, San Diego, CA and can be reached out via phone at 619-239-9691 and via fax at 619-239-9691.

Location: 726 F St Fl 2, San Diego, CA, 92108-3544
person
Provider Profile Details
NPI Number
1316432552
Provider Name
Kevin D. Suratt SR.
Credential
LAADC-CA
Provider Entity Type
Individual
Gender
Male
Address
726 F St Fl 2, San Diego, CA, 92108-3544
Phone Number
619-239-9691
Fax Number
619-239-9691
Provider Enumeration Date
06/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
726 F St Fl 2
City
State
Zip
92101-6303
Phone Number
619-239-9691
Fax Number
619-239-9691
person
Provider Business Mailing Address Details
Address
726 F St Fl 2
City
State
Zip
92101-6303
Phone Number
619-239-9691
Fax Number
619-239-9691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCI04490315 (California)
Definition
Definition to come...
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