Individual
ALYCIA L CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7545 METROPOLITAN DR, SAN DIEGO, CA 92108-4402
(196) 718-9890
Mailing address
7545 METROPOLITAN DR, SAN DIEGO, CA 92108-4402
(196) 718-9890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1288260118
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2006
Last updated
11/12/2019
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