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Adam Shawn Vandiver
Addiction (Substance Use Disorder) Counselor in El Cajon, California
NPI 1346586435

Adam Shawn Vandiver is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Adam Shawn Vandiver practices in El Cajon, CA. The NPI Number for Adam Shawn Vandiver is 1346586435 and holds a License No. RW6051 (California).

The current practice location address for Adam Shawn Vandiver is 545 N Magnolia Ave, El Cajon, CA and can be reached out via phone at 619-579-0947.

Location: 545 N Magnolia Ave, El Cajon, CA, 92020-3608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346586435
Provider Name
Adam Shawn Vandiver
Credential
Provider Entity Type
Individual
Gender
Male
Address
545 N Magnolia Ave, El Cajon, CA, 92020-3608
Phone Number
619-579-0947
Fax Number
Provider Enumeration Date
12/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 N Magnolia Ave
City
El Cajon
State
California
Zip
92020-3608
Phone Number
619-579-0947
Fax Number
person
Provider Business Mailing Address Details
Address
545 N Magnolia Ave
City
El Cajon
State
California
Zip
92020-3608
Phone Number
619-579-0947
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.
RW6051 (California)
Definition
Definition to come...
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