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General NPI Number Information
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NPI Number | 1265063804
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Entity Type | Individual
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Provider Name | DENISE M STEMMONS CADC-CAS
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Gender | Female
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Dates
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Enumeration Date | 02/02/2020
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 3767 CENTRAL AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-2599
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Country | US
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Telephone | 619-584-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 7908 RANCHO FANITA DR SPC 36
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City | SANTEE
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State | CA
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Zip | 92071-3422
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Country | US
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Telephone | 619-888-0776
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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 | C10981214
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License Number State | CA
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