Individual provider · Type 1 NPI

Terri Lynn Brake, RADT-1

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1861298135 Active

Practice location

1211 W Vista Way
Vista, CA 92083-6227

Call (760) 721-2781 Map

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1861298135

Terri Lynn Brake, RADT-1's National Provider Identifier is 1861298135, issued on Feb 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Feb 19, 2025.