Individual provider · Type 1 NPI
Tina Marie Lavado, SUDCC
Addiction (Substance Use Disorder) Counselor · Victorville, CA
NPI number
1700762432
Active
Practice location
13333 Palmdale Rd
Victorville, CA 92392-9364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13719 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700762432
Tina Marie Lavado, SUDCC's National Provider Identifier is 1700762432, issued on Aug 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Nov 6, 2025.