Individual provider · Type 1 NPI
Tayra Del Real
Addiction (Substance Use Disorder) Counselor · San Dimas, CA
NPI number
1619504073
Active
Practice location
325 S San Dimas Canyon Rd Apt 13B
San Dimas, CA 91773-3046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13771-R (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in San Dimas
About NPI 1619504073
Tayra Del Real's National Provider Identifier is 1619504073, issued on Mar 25, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Dimas, CA. The record was last updated on Mar 25, 2020.