TRACY JENEAN MATTHEWS

SAN DIEGO, CA
NPI1811672819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1512870723)
Enumeration Date2023-06-16
Last Update Date2025-01-21
Business Address
TRACY JENEAN MATTHEWS RADT I
8665 GIBBS DR STE 150
SAN DIEGO, CA 92123-1739
Phone number: 858-384-6284
Mailing Address
TRACY JENEAN MATTHEWS RADT I
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: