Eloise Madriaga, CADC1, MPSS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Escondido, CA
NPI 1992376131 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1992376131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CI38700623 (CA)
- Practice address
- 161 N Date St
Escondido, CA 92025-3405 - Phone
- (760) 745-7786
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI38700623 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MPSS-QTDFEW | CA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | MPSS-QTDFEW | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI38700623 | CA | Yes |
Addresses
Primary practice location
161 N Date St
Escondido, CA 92025-3405
Mailing address
161 N Date St
Escondido, CA 92025-3405
Phone (760) 745-7786
Other providers in Escondido, CA
- Maddigrl LLC
- Krista Maddox
- Ashlyn Mader
- Madi Med LLC
- Gary Addison Madison
- Saralena Isabel Madrid
- Madsen Andrus Thompson and Soelberg Partnership
- Matthew James Madsen
- Jayanthi Magesh
- Michael Thomas Magnuson
All providers in Escondido, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.