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Individual

MS. CAROLYN MARIE PIRRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADAC II

Contact information

Practice address
6154 MISSION GORGE RD, STE. 120, SAN DIEGO, CA 92120-3493
(619) 285-1718
(619) 285-3803
Mailing address
6154 MISSION GORGE RD, STE. 120, SAN DIEGO, CA 92120-3493
(619) 285-1718
(619) 285-3803

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RA819895
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37AL
CA
Enumeration date
05/23/2007
Last updated
07/08/2007
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