DESIMAN DWAYNE MILLER JR.
NPI 1891520748
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since September 02, 2024
1530 DALE ST, SAN DIEGO, CA 92102(619) 915-5710 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desiman Dwayne Miller Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIMAN DWAYNE MILLER JR. (NPI 1891520748) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1557150424) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1891520748
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDESIMAN DWAYNE MILLER JR.
Location Address1530 DALE STSan Diego, CA 92102-1519
Mailing Address1530 Dale StSan Diego, CA 92102-1519
Sole ProprietorYes
Enumeration DateSeptember 2, 2024
NPPES CertifiedSeptember 2, 2024
NPI 1891520748 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 · R1557150424
1530 DALE ST, San Diego, CA 92102

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
1530 DALE ST
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
1530 DALE ST
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
1530 DALE ST
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
1530 DALE ST
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
1530 DALE ST
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
1530 DALE ST
SAN DIEGO, CA 92102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891520748, enumerated as an "individual" on September 02, 2024.

The provider is located at 1530 DALE ST SAN DIEGO, CA 92102 and the phone number is (619) 915-5710.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).