KHALIL MATEEN-FARUQ

SAN DIEGO, CA
NPI1811317100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-24
Last Update Date2014-04-24
Business Address
Mr. KHALIL MATEEN-FARUQ
4001 EL CAJON BLVD STE 206
SAN DIEGO, CA 92105-1111
Phone number: 619-280-2300
Mailing Address
Mr. KHALIL MATEEN-FARUQ
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277