Individual
CHRIS WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 N 2ND AVE STE B, CHULA VISTA, CA 91910-1124
(619) 426-4801
Mailing address
5075 SEA REEF PL, SAN DIEGO, CA 92154-8431
(619) 546-5616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1313650618
CA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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