Individual provider · Type 1 NPI

Virginia Challburg, SUD COUNSELOR -SUDRC

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1578445482 Active

Practice location

623 Great Jones St
Fairfield, CA 94533-6005

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 1578445482

Virginia Challburg, SUD COUNSELOR -SUDRC's National Provider Identifier is 1578445482, issued on Jul 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jul 22, 2025.