Individual provider · Type 1 NPI

Theresa Ann Bridget Taylor, LMSW, SAP, SUDRC

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

NPI number 1053782359 Active

Practice location

7545 Metropolitan Dr
San Diego, CA 92108-4402

Call (619) 718-9890 Map

Fax (619) 718-9897

Mailing address

100 Park St
Glens Falls, NY 12801-4413

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8628 (CA)

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

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About NPI 1053782359

Theresa Ann Bridget Taylor, LMSW, SAP, SUDRC's National Provider Identifier is 1053782359, issued on Oct 13, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Nov 21, 2019.