JUDY ACEVEDO CI45810125
NPI 1487328431
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since August 03, 2021
About Judy Acevedo Ci45810125 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY ACEVEDO CI45810125 (NPI 1487328431) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1436870721) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1487328431
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJUDY ACEVEDOCredential: CI45810125
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 105San Diego, CA 92110-4907 · (619) 523-8121
Phone(619) 523-8121
Sole ProprietorYes
Enumeration DateAugust 3, 2021
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1487328431 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 · R1436870721
3340 KEMPER ST STE 105, San Diego, CA 92110
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487328431, enumerated as an "individual" on August 03, 2021.
The provider is located at 3340 KEMPER ST STE 105 SAN DIEGO, CA 92110 and the phone number is (619) 523-8121.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).