Organization
I DON'T DO ADDICTIVE DRUGS
Active
Other names
IDDAD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANAFSHEH PEZESHK PSYD (PRESIDENT)
(760) 607-6463
Entity
Organization
Contact information
Practice address
15525 POMERADO RD STE B3, POWAY, CA 92064-2425
(760) 607-6463
(760) 607-3433
Mailing address
15525 POMERADO RD STE B3, POWAY, CA 92064-2425
(760) 607-6463
(760) 607-3433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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