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

Destiny Unique Childress

Individual provider Rehabilitation Practitioner · NPI 1124870159

Destiny Unique Childress is a Rehabilitation Practitioner in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

4141 Pacific Hwy
San Diego, CA 92110-2030
Phone: (619) 393-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1124870159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address4141 Pacific Hwy, San Diego, CA 92110-2030

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