Healthcare Provider Details

I. General information

NPI: 1124402714
Provider Name (Legal Business Name): CARRIE ELIZABETH NORTON CADC II
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3594 4TH AVE
SAN DIEGO CA
92103-4989
US

IV. Provider business mailing address

3594 4TH AVE
SAN DIEGO CA
92103-4989
US

V. Phone/Fax

Practice location:
  • Phone: 619-296-1151
  • Fax: 619-296-6218
Mailing address:
  • Phone: 619-634-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: