Individual provider · Type 1 NPI

Thomas R. Church, CADDE-CATC INTERN

Addiction (Substance Use Disorder) Counselor · Thousand Oaks, CA

NPI number 1770600686 Active

Practice location

1125 Business Center Cir, Suite B
Thousand Oaks, CA 91320-1184

Fax (805) 375-9920

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADDE-CATC INTERN (CA)

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

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About NPI 1770600686

Thomas R. Church, CADDE-CATC INTERN's National Provider Identifier is 1770600686, issued on Mar 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thousand Oaks, CA. The record was last updated on Jul 8, 2007.