Individual
MR. CHAE U. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 WATSON WAY, VISTA, CA 92083-7924
(760) 599-1892
Mailing address
4751 GARDENIA ST, OCEANSIDE, CA 92057-6143
(760) 505-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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