Individual
MR. ANTOINE F ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3511 INDIA ST, SAN DIEGO, CA 92103-4739
(619) 294-5760
(619) 294-5761
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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