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Alden Lee Blizzard
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1952705899

Alden Lee Blizzard is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Alden Lee Blizzard practices in San Diego, CA. The NPI Number for Alden Lee Blizzard is 1952705899 and holds a License No. (California).

The current practice location address for Alden Lee Blizzard is 995 Gateway Center Way Ste 300, San Diego, CA and can be reached out via phone at 619-398-2156.

Location: 995 Gateway Center Way Ste 300, San Diego, CA, 92102-4550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952705899
Provider Name
Alden Lee Blizzard
Credential
Provider Entity Type
Individual
Gender
Male
Address
995 Gateway Center Way Ste 300, San Diego, CA, 92102-4550
Phone Number
619-398-2156
Fax Number
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N/A 01 CA TREATMENT COUNSELOR
institution
Provider Business Practice Location Address Details
Address
995 Gateway Center Way Ste 300
City
San Diego
State
California
Zip
92102-4550
Phone Number
619-398-2156
Fax Number
person
Provider Business Mailing Address Details
Address
995 Gateway Center Way Ste 300
City
San Diego
State
California
Zip
92102-4550
Phone Number
619-398-2156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
R4280115 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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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