Individual provider · Type 1 NPI
Bill Thomas Dailey, RADT-I
Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA
NPI number
1043854060
Active
Practice location
31760 Casino Dr Ste 200
Lake Elsinore, CA 92530-2313
Mailing address
1370 S State St Ste A
San Jacinto, CA 92583-4922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1043854060
Bill Thomas Dailey, RADT-I's National Provider Identifier is 1043854060, issued on Nov 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Aug 10, 2021.