Judy Acevedo, CI45810125
Counselor, Addiction (Substance Use Disorder) in San Diego, California
1487328431- Practice location
- 3340 Kemper St Ste 105, San Diego, CA 92110-4907
- Phone
- 619-523-8121
- Fax
- —
- Last updated
- January 9, 2025
Judy Acevedo is a Counselor, Addiction (Substance Use Disorder) based in San Diego, CA. Judy Acevedo practices in San Diego, CA and has the professional credentials of CI45810125. The NPI Number for Judy Acevedo is 1487328431 and holds a License No. R1436870721 (CA). The current practice location address for Judy Acevedo is 3340 Kemper St Ste 105, San Diego, CA 92110-4907 and can be reached out via phone at 619-523-8121.
Provider Profile Details
- NPI Number
- 1487328431
- Provider Name
- Judy Acevedo
- Credential
- CI45810125
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3340 Kemper St Ste 105, San Diego, CA 92110-4907
- Phone Number
- 619-523-8121
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2021
- Last Update Date
- January 9, 2025
- Certification Date
- January 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3340 Kemper St Ste 105
San Diego, CA 92110-4907 - City
- San Diego
- State
- California
- Zip
- 92110-4907
- Phone Number
- 619-523-8121
Provider Business Mailing Address Details
- Address
- 3340 Kemper St Ste 105
San Diego, CA 92110-4907 - City
- San Diego
- State
- CA
- Zip
- 92110-4907
- Phone Number
- 619-523-8121
License Information
- License Number
- R1436870721
- License State
- CA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Judy Acevedo, CI45810125?
The NPI number of Judy Acevedo, CI45810125 is 1487328431. It was assigned on August 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Judy Acevedo, CI45810125?
Judy Acevedo, CI45810125 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CA under license number R1436870721.
Where does Judy Acevedo, CI45810125 practice?
The practice location is 3340 Kemper St Ste 105, San Diego, CA 92110-4907. The office can be reached at 619-523-8121 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487328431 directly on the NPPES registry website.