Individual provider · Type 1 NPI

Justice Tanner

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1225959372 Active

Practice location

1260 E Arrow Hwy
Upland, CA 91786-4982

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1450360726 (CA)

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

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About NPI 1225959372

Justice Tanner's National Provider Identifier is 1225959372, issued on Jul 23, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Jul 23, 2026.