Individual provider · Type 1 NPI

Tanisha Jordan Balogun

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1750895298 Active

Practice location

17270 Roosevelt St # 304
Riverside, CA 92508-9523

Call (951) 780-2541 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

Other addiction (substance use disorder) counselor providers in Riverside

See all in Riverside →

About NPI 1750895298

Tanisha Jordan Balogun's National Provider Identifier is 1750895298, issued on Nov 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Nov 20, 2017.