Individual
DAVID HEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUD CERTIFIED
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
03/13/2026
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