Individual provider · Type 1 NPI

Dylan Ray Riese, RADT TRAINEE 1

Addiction (Substance Use Disorder) Counselor · Dulzura, CA

NPI number 1174480685 Active

Practice location

18985 Highway 94
Dulzura, CA 91917-1527

Call (619) 335-2996 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1420931025 (CA)

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

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About NPI 1174480685

Dylan Ray Riese, RADT TRAINEE 1's National Provider Identifier is 1174480685, issued on Jan 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dulzura, CA. The record was last updated on Jan 7, 2026.