Individual provider · Type 1 NPI

Emerson Groom, RADT1

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1619493210 Active

Practice location

2101 E 1st St
Santa Ana, CA 92705-4007

Call (714) 581-9181 Map

Mailing address

3050 S Bristol St, 8Q
Santa Ana, CA 92704-6727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1242690217 (CA)

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

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About NPI 1619493210

Emerson Groom, RADT1's National Provider Identifier is 1619493210, issued on Aug 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Aug 16, 2017.