Individual provider · Type 1 NPI

Marie Ventura, RAD-T

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1134867419 Active

Practice location

1225 Travis Blvd
Fairfield, CA 94533-4892

Call (707) 399-9105 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

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 1134867419

Marie Ventura, RAD-T's National Provider Identifier is 1134867419, issued on May 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on May 25, 2022.