ALEXANDRIA NIKOLE TIEDTKE
NPI 1528526399
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since March 11, 2019
About Alexandria Nikole Tiedtke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRIA NIKOLE TIEDTKE (NPI 1528526399) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since March 2019.
NPPES Registry Identity
NPI1528526399
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALEXANDRIA NIKOLE TIEDTKE
Location Address7625 MESA COLLEGE DR STE 115San Diego, CA 92111-5354
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Phone(858) 277-4633
Sole ProprietorYes
Enumeration DateMarch 11, 2019
✔ NPI 1528526399 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
7625 MESA COLLEGE DR STE 115, San Diego, CA 92111
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
7625 MESA COLLEGE DR STE 115
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528526399, enumerated as an "individual" on March 11, 2019.
The provider is located at 7625 MESA COLLEGE DR STE 115 SAN DIEGO, CA 92111 and the phone number is (858) 277-4633.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
