Individual provider · Type 1 NPI
Teresa Massingill
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1154748820
Active
Practice location
7000B S Center Dr
Clearlake, CA 95422-8131
Fax (707) 994-7164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RI-M1311251251 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154748820
Teresa Massingill's National Provider Identifier is 1154748820, issued on Mar 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Mar 19, 2014.