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NPI Code Detail

MEDICARE: ARLETTE VALDEZ SUDCR II

MEDICARE: ARLETTE VALDEZ SUDCR II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor20256CA
2171M00000XCase Manager/Care Coordinator20256CA

General Provider Information

NPI Number : 1962113118
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLETTE VALDEZ SUDCR II
Provider Business Mailing Address
First Line : 4161 MARLBOROUGH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1412
Country : US
Telephone Number : 619-282-7274
Fax Number :
Provider Business Practice Location Address
First Line : 4161 MARLBOROUGH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1412
Country : US
Telephone Number : 619-282-7274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/02/2025

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Directions to “ ARLETTE VALDEZ SUDCR II” Practice Location

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