Individual provider · Type 1 NPI

Tina Marie Aydelotte

Addiction (Substance Use Disorder) Counselor · Panorama City, CA

NPI number 1831015247 Active

Practice location

9140 Van Nuys Blvd
Panorama City, CA 91402-6727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25369 (CA)

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

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About NPI 1831015247

Tina Marie Aydelotte's National Provider Identifier is 1831015247, issued on Jun 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Panorama City, CA. The record was last updated on Jun 29, 2026.