Individual
CRISTOFER IAN MISHLER BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
3870 MURPHY CANYON RD, SAN DIEGO, CA 92123-4446
(858) 300-0460
(858) 300-0461
Mailing address
3870 MURPHY CANYON RD, SAN DIEGO, CA 92123-4446
(858) 300-0460
(858) 300-0461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RA1030121
CA
373H00000X
Day Training/Habilitation Specialist
Primary
RA1030121
CA
Other
Enumeration date
04/21/2025
Last updated
02/18/2026
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