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550 Fesler St Suite G 1 / G2 El Cajon CA 92020-1901 | |
| (619) 588-5421 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 550 Fesler St, El Cajon, California |
| Authorized Official Name and Position | Jeanne Mcalister (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1400 N Johnson Ave Suite 100 El Cajon CA 92020-1650 Ph: (619) 442-0277 | 550 Fesler St Suite G 1 / G2 El Cajon CA 92020-1901 Ph: (619) 588-5421 |
| NPI Number | 1790090348 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790090348 | NPI | - | NPPES |
| 378558 | Other | CA | COUNTY PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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