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

Willie R Meadows, SUDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003690751

Willie R Meadows, SUDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

4660 El Cajon Blvd Ste 210
San Diego, CA 92115-4466
Phone: (619) 597-7335
Fax: (619) 642-2735
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 15171 (CA)

Record details

NPI number1003690751
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCOUNSELOR
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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