Individual
BREONA BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 296-1151
Mailing address
6244 EL CAJON BLVD STE 17, SAN DIEGO, CA 92115-3918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/08/2019
Last updated
09/06/2023
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