Individual provider · Type 1 NPI

Tiazjanae Wilridge, RADT

Addiction (Substance Use Disorder) Counselor · Fair Oaks, CA

NPI number 1093286940 Active

Practice location

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139

Call (916) 216-5388 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X27035 (CA)
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner 225400000XNone listed

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

19 other providers at this address

Other addiction (substance use disorder) counselor providers in Fair Oaks

See all in Fair Oaks →

About NPI 1093286940

Tiazjanae Wilridge, RADT's National Provider Identifier is 1093286940, issued on Dec 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fair Oaks, CA. The record was last updated on Oct 19, 2026.