Individual provider · Type 1 NPI
Tina L. Boothe, CADAC
Addiction (Substance Use Disorder) Counselor · Lackland A F B, TX
NPI number
1811220585
Active
Practice location
2200 Bergquist Dr
Lackland A F B, TX 78236-9907
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 1811220585
Tina L. Boothe, CADAC's National Provider Identifier is 1811220585, issued on Sep 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lackland A F B, TX. The record was last updated on Sep 14, 2009.