Healthcare Provider Details

I. General information

NPI: 1093544793
Provider Name (Legal Business Name): DON WOZNICKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 N GRAPE ST
ESCONDIDO CA
92025-3079
US

IV. Provider business mailing address

490 N GRAPE ST
ESCONDIDO CA
92025-3079
US

V. Phone/Fax

Practice location:
  • Phone: 760-975-9939
  • Fax: 760-509-9093
Mailing address:
  • Phone: 760-975-9939
  • Fax: 760-509-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC21013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: