Individual provider · Type 1 NPI

Julie Nicole Datter, RADT

Addiction (Substance Use Disorder) Counselor · Morro Bay, CA

NPI number 1164244174 Active

Practice location

2460 Main St
Morro Bay, CA 93442-1552

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1505660523 (CA)

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

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About NPI 1164244174

Julie Nicole Datter, RADT's National Provider Identifier is 1164244174, issued on Oct 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Morro Bay, CA. The record was last updated on Oct 30, 2024.