Individual
ADRIA GABRIELLE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-2156
(619) 389-2168
Mailing address
1260 MORENA BLVD, SUITE 100, SAN DIEGO, CA 92110
(619) 398-0355
(619) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
03/27/2025
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