Individual
MRS. ASHLEA SHONTAY MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
Mailing address
1202 MORENA BLVD, SAN DIEGO, CA 92110-3841
(619) 275-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
09/04/2020
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