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Individual

MR. ALEJANDRO R BASCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CERTIFIED

Contact information

Practice address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B3647956
CA
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
05/22/2026
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