Provider Demographics
NPI:1972867042
Name:REIS, ELIZA (CADC II)
Entity type:Individual
Prefix:MS
First Name:ELIZA
Middle Name:
Last Name:REIS
Suffix:
Gender:
Credentials:CADC II
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:
Other - Last Name:REIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CADC II
Mailing Address - Street 1:221 W CREST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1735
Mailing Address - Country:US
Mailing Address - Phone:760-744-3672
Mailing Address - Fax:951-791-3353
Practice Address - Street 1:221 W CREST ST STE 100
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1735
Practice Address - Country:US
Practice Address - Phone:760-744-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII059940618101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)