Individual provider · Type 1 NPI

Edward Mindiola, RADT 1

Addiction (Substance Use Disorder) Counselor · Auburn, CA

NPI number 1124571179 Active

Practice location

12125 Shale Ridge Ln
Auburn, CA 95602-8880

Call (530) 885-1917 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1224960316 (CA)

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

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About NPI 1124571179

Edward Mindiola, RADT 1's National Provider Identifier is 1124571179, issued on Jul 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Auburn, CA. The record was last updated on Jul 26, 2016.