NPIRadar

Michael George Dehamm, CADC II, ICADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI
1588141527
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
A049730518 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2018-07-23
Last updated
2018-07-23
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
(619) 478-5696

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