Individual provider · Type 1 NPI

Teresa Kothrade

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1780407478 Active

Practice location

1320 W Pearl St
Anaheim, CA 92801-5941

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA062450423 (CA)

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

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About NPI 1780407478

Teresa Kothrade's National Provider Identifier is 1780407478, issued on Nov 1, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Nov 1, 2024.