person
Rafael Amaya Gomez
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1902115439

Rafael Amaya Gomez is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Rafael Amaya Gomez practices in San Diego, CA. The NPI Number for Rafael Amaya Gomez is 1902115439 and holds a License No. (California).

The current practice location address for Rafael Amaya Gomez is 4660 Viewridge Ave Ste 100A, San Diego, CA and can be reached out via phone at 619-937-1430.

Location: 4660 Viewridge Ave Ste 100A, San Diego, CA, 92123-1638
person
Provider Profile Details
NPI Number
1902115439
Provider Name
Rafael Amaya Gomez
Credential
Provider Entity Type
Individual
Gender
Male
Address
4660 Viewridge Ave Ste 100A, San Diego, CA, 92123-1638
Phone Number
619-937-1430
Fax Number
Provider Enumeration Date
10/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8544 05 CA
institution
Provider Business Practice Location Address Details
Address
4660 Viewridge Ave Ste 100A
City
State
Zip
92123-1638
Phone Number
619-937-1430
Fax Number
person
Provider Business Mailing Address Details
Address
4660 Viewridge Ave Ste 100A
City
State
Zip
92123-1638
Phone Number
619-937-1430
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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