Provider Demographics
NPI:1902481088
Name:WESTCOTT, JOSEPH JOHN JR
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JOHN
Last Name:WESTCOTT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3928 ILLINOIS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3058
Mailing Address - Country:US
Mailing Address - Phone:619-584-4010
Mailing Address - Fax:619-564-8011
Practice Address - Street 1:3928 ILLINOIS ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3058
Practice Address - Country:US
Practice Address - Phone:619-584-4010
Practice Address - Fax:619-564-8011
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)