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Amelia Lillian Broadnax
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1851672075

Amelia Lillian Broadnax is an Addiction (Substance Use Disorder) Counselor based in La Mesa, CA and is specialized in Addiction (Substance Use Disorder). Amelia Lillian Broadnax practices in San Diego, CA. The NPI Number for Amelia Lillian Broadnax is 1851672075 and holds a License No. (California).

The current practice location address for Amelia Lillian Broadnax is 1250 6Th Ave, San Diego, CA and can be reached out via phone at 619-810-8603.

Location: 1250 6Th Ave, San Diego, CA, 91941-6247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851672075
Provider Name
Amelia Lillian Broadnax
Credential
Provider Entity Type
Individual
Gender
Female
Address
1250 6Th Ave, San Diego, CA, 91941-6247
Phone Number
619-810-8603
Fax Number
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1250 6Th Ave
City
San Diego
State
California
Zip
92101-4300
Phone Number
619-810-8603
Fax Number
person
Provider Business Mailing Address Details
Address
1250 6Th Ave
City
San Diego
State
California
Zip
92101-4300
Phone Number
619-810-8603
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.
()
Definition
Definition to come...
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