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

Mr. Dennis Wayne Bridwell II, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1326868902

Mr. Dennis Wayne Bridwell II, SUDRC is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

4161 Marlborough Ave
San Diego, CA 92105-1412
Phone: (619) 282-7274
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 19613 (CA)

Record details

NPI number1326868902
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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