Individual
CARLOS JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(619) 269-8967
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1529731023
CA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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