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General NPI Number Information
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NPI Number | 1245707637
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Entity Type | Individual
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Provider Name | VIRIDIANA CARREON-ROMERO LCSW, LAADC-CA
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 451 RIVERVIEW PKWY
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City | SANTEE
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State | CA
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Zip | 92071-5829
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Country | US
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Telephone | 619-409-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1576
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-1576
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Country | US
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Telephone | 760-809-2733
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCI2231214
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124764
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License Number State | CA
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