Individual provider · Type 1 NPI

Andrew Donald Dertien

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1013512383 Active

Practice location

1111 Market St Fl 1
San Francisco, CA 94103-1589

Mailing address

1563 Mission St
San Francisco, CA 94103-2543

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1410691120 (CA)

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

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About NPI 1013512383

Andrew Donald Dertien's National Provider Identifier is 1013512383, issued on Dec 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Mar 17, 2023.