Individual provider · Type 1 NPI

Tanya M. Popoff, SUDCC

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1184111478 Active

Practice location

4077 Fifth Ave
San Diego, CA 92103-2105

Mailing address

1820 S El Camino Real Unit 201
Encinitas, CA 92024-4963

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X8757 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII063271221 (CA)

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About NPI 1184111478

Tanya M. Popoff, SUDCC's National Provider Identifier is 1184111478, issued on Apr 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Dec 28, 2021.