Individual provider · Type 1 NPI
Tiffany Rebecca Gottdiner
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1770056533
Active
Practice location
707 Fair Ave
Santa Cruz, CA 95060
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 1770056533
Tiffany Rebecca Gottdiner's National Provider Identifier is 1770056533, issued on Jan 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 4, 2019.