Individual
CHRISTOPHER MATTHEW POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2952 CEDAR ST, SAN DIEGO, CA 92102-1515
(619) 239-7370
Mailing address
2980 CEDAR ST, SAN DIEGO, CA 92102-1599
(619) 915-5710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1563390624
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
08/05/2025
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