Individual provider · Type 1 NPI

Tara Elaine Bender

Addiction (Substance Use Disorder) Counselor · Escondido, CA

NPI number 1619720604 Active

Practice location

474 W Vermont Ave Ste 104
Escondido, CA 92025-6584

Call (760) 432-9884 Map

Mailing address

9465 Farnham St
San Diego, CA 92123-1308

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-JYPNEI (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1625300725 (CA)

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

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About NPI 1619720604

Tara Elaine Bender's National Provider Identifier is 1619720604, issued on Apr 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escondido, CA. The record was last updated on Aug 27, 2025.