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Joseph Aniceto Jacome JR.
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1598487886

Joseph Aniceto Jacome JR. is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Joseph Aniceto Jacome JR. practices in San Diego, CA. The NPI Number for Joseph Aniceto Jacome JR. is 1598487886 and holds a License No. R1482010922 (California).

The current practice location address for Joseph Aniceto Jacome JR. is 7545 Metropolitan Dr, San Diego, CA and can be reached out via phone at 619-718-9890.

Location: 7545 Metropolitan Dr, San Diego, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598487886
Provider Name
Joseph Aniceto Jacome JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7545 Metropolitan Dr, San Diego, CA, 92020-1651
Phone Number
619-718-9890
Fax Number
Provider Enumeration Date
09/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7545 Metropolitan Dr
City
San Diego
State
California
Zip
92108-4402
Phone Number
619-718-9890
Fax Number
person
Provider Business Mailing Address Details
Address
7545 Metropolitan Dr
City
San Diego
State
California
Zip
92108-4402
Phone Number
619-718-9890
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.
R1482010922 (California)
Definition
Definition to come...
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