Individual provider · Type 1 NPI

Tanesha Nixon

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1003781485 Active

Practice location

627 Grant St
Vallejo, CA 94590-7228

Call (707) 553-1042 Map

Mailing address

13 Villa Ct
Fairfield, CA 94533-2526

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003781485

Tanesha Nixon's National Provider Identifier is 1003781485, issued on Oct 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Oct 7, 2025.