Individual
ADESSA KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 MARKET ST, SAN DIEGO, CA 92102-3241
(619) 236-9217
Mailing address
545 N MAGNOLIA AVE, EL CAJON, CA 92020-3608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
02/20/2020
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