Individual provider · Type 1 NPI

Destiny Jean Tedtaotao

Mental Health Counselor · Riverside, CA

NPI number 1003142522 Active

Practice location

7600 Ambergate Pl Apt L202
Riverside, CA 92504-2659

Call (310) 433-6338 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003142522

Destiny Jean Tedtaotao's National Provider Identifier is 1003142522, issued on Oct 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Oct 19, 2009.