Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Institute of Modern Recovery

Organization Professional Counselor · NPI 1952714321

Institute of Modern Recovery is a Professional Counselor in San Diego, California. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

2725 Congress St Ste 1D
San Diego, CA 92110-2757
Phone: (619) 288-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1952714321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creston Davis — Ceo-Lmft · (619) 288-6866
NPI enumeratedJune 3, 2014
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2725 Congress St Ste 1d, San Diego, CA 92110-2766

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