Individual provider · Type 1 NPI

Kyle Battaglia Faircloth

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1760947485 Active

Practice location

1820 Scenic Ave
Berkeley, CA 94709-1324

Mailing address

558 Clayton Ave
El Cerrito, CA 94530-3230

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1328421118 (CA)

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

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About NPI 1760947485

Kyle Battaglia Faircloth's National Provider Identifier is 1760947485, issued on Feb 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Feb 6, 2019.