Individual provider · Type 1 NPI

Adriana Elena Tisdale

Addiction (Substance Use Disorder) Counselor · Chula Vista, CA

NPI number 1407454697 Active

Practice location

1180 Third Ave Ste C3
Chula Vista, CA 91911-3139

Call (619) 691-8164 Map

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407454697

Adriana Elena Tisdale's National Provider Identifier is 1407454697, issued on Oct 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chula Vista, CA. The record was last updated on Oct 11, 2020.