Individual provider · Type 1 NPI

Tanya Louise Etzel

Addiction (Substance Use Disorder) Counselor · Susanville, CA

NPI number 1104050525 Active

Practice location

1410 Chestnut St
Susanville, CA 96130-3719

Call (530) 251-8112 Map

Fax (530) 251-5884

Specialties and licenses

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

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

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About NPI 1104050525

Tanya Louise Etzel's National Provider Identifier is 1104050525, issued on May 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Susanville, CA. The record was last updated on May 13, 2009.