TEDDEAUX LEON LAMOUREUX III (NPI# 1336604073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336604073 |
| Entity Type | Individual |
| Full Name | TEDDEAUX LEON LAMOUREUX III |
| Practice Address |
6244 El Cajon Blvd Ste 17 San Diego CA 92115-3918 |
| Practice Telephone | 6192878225 |
| Practice Fax Number | 6192874146 |
| Mailing Telephone | 6192878225 |
| Mailing Fax Number | 6192874146 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6244 EL CAJON BLVD STE 17 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720412976 | Michael Koesterer | Specialist | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2013-08-23 |
| 1871135848 | Andrea Lyn Silva | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-10-11 |
| 1811558083 | Mason Alan Dickinson | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-06-27 |
| 1407411176 | Will Goff | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-05-07 |
| 1578048716 | Jaqueline Nicole Klingenberg | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-10-02 |
| 1619451200 | Mollie Dennehy | Behavior Technician | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-19 |
| 1013490085 | Natasha L Standard | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-14 |
| 1841773686 | Carolyn Marie Church | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-07 |
| 1053820043 | Jessica Alford | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2017-09-22 |
| 1386051258 | Dragana Zikov | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2014-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.