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1255963633
ELENA COLLAVIN
SAN DIEGO, CA
NPI
1255963633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
ELENA COLLAVIN
2136 EL CAJON BLVD
SAN DIEGO, CA 92104-1102
Phone number: 619-749-3958
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Mailing Address
ELENA COLLAVIN
2109 MONTGOMERY AVE
CARDIFF, CA 92007-1817
Phone number: 858-531-7384
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