Individual
IRIS N CARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
2122 S EL CAMINO REAL, OCEANSIDE, CA 92054-6208
(760) 290-8170
(760) 406-5880
Mailing address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161635
CA
175T00000X
Peer Specialist
Primary
MPSS-OSCNUY
CA
Other
Enumeration date
09/23/2021
Last updated
09/26/2023
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