Individual provider · Type 1 NPI

Tara Polley

Addiction (Substance Use Disorder) Counselor · Costa Mesa, CA

NPI number 1386398923 Active

Practice location

275 Victoria St
Costa Mesa, CA 92627-1906

Call (949) 629-2860 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII063001220 (CA)

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

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About NPI 1386398923

Tara Polley's National Provider Identifier is 1386398923, issued on Feb 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Costa Mesa, CA. The record was last updated on Mar 11, 2022.