ELLEN ELIZABETH FREITAS SUDRC
NPI 1700689510
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since March 28, 2025
About Ellen Elizabeth Freitas Sudrc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN ELIZABETH FREITAS SUDRC (NPI 1700689510) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (20723) and active in the NPI registry since March 2025.
NPPES Registry Identity
NPI1700689510
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELLEN ELIZABETH FREITASCredential: SUDRC
Location Address4930 NAPLES STSan Diego, CA 92110-3820
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 269-8969
Sole ProprietorNo
Enumeration DateMarch 28, 2025
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1700689510 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 · 20723
4930 NAPLES ST, San Diego, CA 92110
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700689510, enumerated as an "individual" on March 28, 2025.
The provider is located at 4930 NAPLES ST SAN DIEGO, CA 92110 and the phone number is (619) 269-8969.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).