Individual provider · Type 1 NPI

Tanya Ann Velasquez, SUD

Addiction (Substance Use Disorder) Counselor · Orange, CA

NPI number 1780468041 Active

Practice location

265 S Anita Dr
Orange, CA 92868-3355

Mailing address

2350 Osbun Rd Unit 12
San Bernardino, CA 92404-4631

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16215 (CA)

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

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About NPI 1780468041

Tanya Ann Velasquez, SUD's National Provider Identifier is 1780468041, issued on Aug 18, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orange, CA. The record was last updated on Mar 15, 2024.