Individual
ANTHONY J PACITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 25TH ST, SAN DIEGO, CA 92102-2107
(619) 233-0067
Mailing address
8739 GARDENA RD, LAKESIDE, CA 92040-5303
(619) 362-0642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1453461221
CA
Other
Enumeration date
01/27/2022
Last updated
01/28/2022
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