ROMAN A BRALY CAADC II
NPI 1043722333
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since October 26, 2017
About Roman A Braly Caadc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROMAN A BRALY CAADC II (NPI 1043722333) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (A042941116) and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1043722333
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROMAN A BRALYCredential: CAADC II
Location Address1526 INDIA ST UNIT FSan Diego, CA 92101-2465
Mailing Address1526 India St Unit FSan Diego, CA 92101-2465
Phone(619) 674-3501
Sole ProprietorNo
Enumeration DateOctober 26, 2017
✔ NPI 1043722333 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A042941116
1526 INDIA ST UNIT F, San Diego, CA 92101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043722333, enumerated as an "individual" on October 26, 2017.
The provider is located at 1526 INDIA ST UNIT F SAN DIEGO, CA 92101 and the phone number is (619) 674-3501.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
