Individual
SOLOMON EZEKIEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
3539 COLLEGE AVE, SAN DIEGO, CA 92115-7032
(619) 818-3788
Mailing address
1031 25TH ST, SAN DIEGO, CA 92102-2102
(619) 232-6454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704
—
CA
Enumeration date
10/16/2017
Last updated
01/26/2022
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