Individual provider · Type 1 NPI
Mary Louise Pruitt, CADC II, ICADC
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1619112901
Active
Practice location
1440 Ethan Way Ste 101
Sacramento, CA 95825-2225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 03043920 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1619112901
Mary Louise Pruitt, CADC II, ICADC's National Provider Identifier is 1619112901, issued on Dec 16, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on May 2, 2017.