ALEXANDRIA NIKOLE TIEDTKE

SAN DIEGO, CA
NPI1528526399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-11
Last Update Date2019-03-11
Business Address
ALEXANDRIA NIKOLE TIEDTKE
7625 MESA COLLEGE DR STE 115
SAN DIEGO, CA 92111-5354
Phone number: 858-277-4633
Mailing Address
ALEXANDRIA NIKOLE TIEDTKE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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