Individual provider · Type 1 NPI
Mary Ann Tassone
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1700901774
Active
Practice location
6244 El Cajon Blvd, Suite 15
San Diego, CA 92115
Fax (619) 287-4146
Mailing address
5583 Michael St
San Diego, CA 92105-3844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1858 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700901774
Mary Ann Tassone's National Provider Identifier is 1700901774, issued on Mar 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 17, 2012.