Individual provider · Type 1 NPI

Olivia Moran, RADT

Addiction (Substance Use Disorder) Counselor · Galt, CA

NPI number 1407489941 Active

Practice location

750 Spaans Dr Ste C
Galt, CA 95632-8609

Fax (209) 744-9910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1377980220 (CA)

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

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About NPI 1407489941

Olivia Moran, RADT's National Provider Identifier is 1407489941, issued on Feb 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Galt, CA. The record was last updated on Feb 12, 2020.