Individual provider · Type 1 NPI
Tina Ann Holley, RADT
Addiction (Substance Use Disorder) Counselor · Campo, CA
NPI number
1487411468
Active
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
Fax (619) 478-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1545130124 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487411468
Tina Ann Holley, RADT's National Provider Identifier is 1487411468, issued on Mar 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Campo, CA. The record was last updated on Mar 5, 2024.