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Ella Rose Nmn Lee, RADT
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1568192953

Ella Rose Nmn Lee is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Ella Rose Nmn Lee practices in San Diego, CA and has the professional credentials of RADT. The NPI Number for Ella Rose Nmn Lee is 1568192953 and holds a License No. R1465840422 (California).

The current practice location address for Ella Rose Nmn Lee is 3594 4Th Ave, San Diego, CA and can be reached out via phone at 619-296-1151 and via fax at 619-296-6218.

Location: 3594 4Th Ave, San Diego, CA, 92103-4989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568192953
Provider Name
Ella Rose Nmn Lee
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
3594 4Th Ave, San Diego, CA, 92103-4989
Phone Number
619-296-1151
Fax Number
619-296-6218
Provider Enumeration Date
06/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3594 4Th Ave
City
San Diego
State
California
Zip
92103-4989
Phone Number
619-296-1151
Fax Number
619-296-6218
person
Provider Business Mailing Address Details
Address
3594 4Th Ave
City
San Diego
State
California
Zip
92103-4989
Phone Number
619-296-1151
Fax Number
619-296-6218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1465840422 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
R1465840422 (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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