Individual
NANCY INGE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS, RAOD
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Mailing address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SUDRCI26009
CA
171M00000X
Case Manager/Care Coordinator
SURRCI26009
CA
175T00000X
Peer Specialist
Primary
MPSS-GBZWPV
CA
373H00000X
Day Training/Habilitation Specialist
MPSS-GBZWPV
CA
Other
Enumeration date
11/07/2024
Last updated
07/12/2026
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