Provider Demographics
NPI:1821644246
Name:CRITE, GARY LEE JR (CADC II)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:LEE
Last Name:CRITE
Suffix:JR
Gender:M
Credentials:CADC II
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Mailing Address - Street 1:730 BREEZE HILL RD APT 236
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-4314
Mailing Address - Country:US
Mailing Address - Phone:619-504-7041
Mailing Address - Fax:
Practice Address - Street 1:1820 S ESCONDIDO BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6535
Practice Address - Country:US
Practice Address - Phone:760-294-6356
Practice Address - Fax:760-294-4039
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2023-06-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)