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DOMINIQUE CECCON SUD
NPI 1902562218
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since November 10, 2021
1250 6TH AVE STE 100, SAN DIEGO, CA 92101(619) 515-2430 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Dec 1, 2021, Nov 10, 2021 (3 updates tracked since 2021).

About Dominique Ceccon Sud NPPES

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

DOMINIQUE CECCON SUD (NPI 1902562218) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1447821021) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1902562218
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIQUE CECCONCredential: SUD
Location Address1250 6TH AVE STE 100San Diego, CA 92101-4368
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 515-2430
Sole ProprietorNo
Enumeration DateNovember 10, 2021
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1902562218 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 · R1447821021
1250 6TH AVE STE 100, San Diego, CA 92101
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EILEEN GOMEZ SUD
Counselor (Addiction (Substance Use Disorder))
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (616) 515-2430
MARGARETTA EMILY GERGEN DO
Family Medicine
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
LIDIA ANDREINA ZAMBRANO CADC-III
Counselor (Addiction (Substance Use Disorder))
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
COLLEEN VIRGINIA WORTH FNP
Nurse Practitioner (Family)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
DR. MALATHY SRISKANDARAJAH M.D
Internal Medicine
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
MS. RUTH ANNE GILLIS MC MFT
Marriage & Family Therapist
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
ROSEMARY SWIFT SCHAIRER NP
Nurse Practitioner (Family)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430
ERIN KATHLEEN SPITTAL LPCC
Counselor (Professional)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
San Diego County (619) 515-2430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Ceccon's NPI number?

The NPI number for Dominique Ceccon is 1902562218. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Dominique Ceccon located?

Dominique Ceccon practices at 1250 6th Ave Ste 100, San Diego, CA 92101. The listed phone number is (619) 515-2430.

What is Dominique Ceccon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dominique Ceccon was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.