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

Lisa Renee Chaiumporn, SUDRC23433

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508702325

Lisa Renee Chaiumporn, SUDRC23433 is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1127 S 38th St
San Diego, CA 92113-3210
Phone: (619) 262-4002
Fax: (619) 264-2864
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 · Licence 23433 (CA)

Record details

NPI number1508702325
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC23433
Sole proprietorNo
NPI enumeratedApril 24, 2026
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

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