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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053823385

Mrs. Karen Diega Faddis, SUDCCII is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1365 N Johnson Ave Ste 111, El Cajon, CA 92020 — (619) 440-4801

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11452 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053823385
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCII
Sole proprietorYes
NPI enumeratedOctober 26, 2017
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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