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Justin Gregory Ross
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1710536164

Justin Gregory Ross is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Justin Gregory Ross practices in Vista, CA. The NPI Number for Justin Gregory Ross is 1710536164 and holds a License No. CI16710518 (California).

The current practice location address for Justin Gregory Ross is 1211 W Vista Way Bldg C, Vista, CA and can be reached out via phone at 760-721-2781.

Location: 1211 W Vista Way Bldg C, Vista, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710536164
Provider Name
Justin Gregory Ross
Credential
Provider Entity Type
Individual
Gender
Male
Address
1211 W Vista Way Bldg C, Vista, CA, 92020-1651
Phone Number
760-721-2781
Fax Number
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1211 W Vista Way Bldg C
City
Vista
State
California
Zip
92083-6227
Phone Number
760-721-2781
Fax Number
person
Provider Business Mailing Address Details
Address
1211 W Vista Way Bldg C
City
Vista
State
California
Zip
92083-6227
Phone Number
760-721-2781
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.
CI16710518 (California)
Definition
Definition to come...
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