Christopher David Serna, CPSS

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI 1104712090 · NPPES record last updated Feb 2, 2026

Key facts

NPI
1104712090
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
RT1427180126 (CA)
Practice address
1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone
(619) 478-5696
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RT1427180126CAMDAddiction (Substance Use Disorder) Counselor
MPSS-HMNCVACAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Freedom Ranch, Inc. Past
since Jun 23, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RT1427180126 CA Yes
Peer Specialist 175T00000X MPSS-HMNCVA CA

Addresses

Primary practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022

Mailing address

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone (619) 478-5696

Other providers in Campo, CA

All providers in Campo, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.