Individual
MR. ALEJANDRO R BASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
2625 E 14TH ST, NATIONAL CITY, CA 91950-5201
(619) 446-8507
Mailing address
2625 E 14TH ST, NATIONAL CITY, CA 91950-5201
(619) 446-8507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BV3647956
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1379800320
CA
Other
Enumeration date
01/23/2020
Last updated
02/27/2025
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