Provider Demographics
NPI:1639293657
Name:BAKKI, SANDOR JOZSEF (CAS II)
Entity Type:Individual
Prefix:MR
First Name:SANDOR
Middle Name:JOZSEF
Last Name:BAKKI
Suffix:
Gender:M
Credentials:CAS II
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Other - Credentials:
Mailing Address - Street 1:545 N MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3608
Mailing Address - Country:US
Mailing Address - Phone:619-579-0947
Mailing Address - Fax:619-588-6282
Practice Address - Street 1:545 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3608
Practice Address - Country:US
Practice Address - Phone:619-579-0947
Practice Address - Fax:619-588-6282
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)