Individual provider · Type 1 NPI
Laura Tulledo-Johnson, R1417930121
Addiction (Substance Use Disorder) Counselor · Redding, CA
NPI number
1669067401
Active
Practice location
1905 Park Marina Dr
Redding, CA 96001-0962
Fax (530) 786-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669067401
Laura Tulledo-Johnson, R1417930121's National Provider Identifier is 1669067401, issued on Mar 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Mar 3, 2021.