Individual provider · Type 1 NPI

Tambra K. Divine

Addiction (Substance Use Disorder) Counselor · Concord, CA

NPI number 1568613545 Active

Practice location

2500 Bates Ave
Concord, CA 94520-1376

Call (925) 326-0479 Map

Fax (925) 608-5188

Mailing address

2358 Fieldgate Dr
Pittsburg, CA 94565-7360

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1568613545

Tambra K. Divine's National Provider Identifier is 1568613545, issued on Oct 8, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Concord, CA. The record was last updated on May 6, 2025.