Individual provider · Type 1 NPI
Tristan Vaughn Woodward
Addiction (Substance Use Disorder) Counselor · Escondido, CA
NPI number
1083428775
Active
Practice location
550 W Washington Ave
Escondido, CA 92025-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1572130724 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1083428775
Tristan Vaughn Woodward's National Provider Identifier is 1083428775, issued on Feb 4, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escondido, CA. The record was last updated on Feb 4, 2025.