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Individual

MARCELLIN ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2970 MARKET ST, SAN DIEGO, CA 92102-3241
(619) 236-9492
Mailing address
4776 CASTLE AVE, SAN DIEGO, CA 92105-2913

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
08/26/2020
Last updated
08/25/2025
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