Individual provider · Type 1 NPI

Tiffany Dyonne Vasquez, SUDRC 15344

Addiction (Substance Use Disorder) Counselor · Tracy, CA

NPI number 1891471777 Active

Practice location

2850 N Tracy Blvd Ste 201
Tracy, CA 95376-7767

Call (855) 223-7123 Map

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Other practice locations

  • 1981 Cherokee Rd, Stockton, CA 95205-2720 · (209) 870-6500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC-15344 (CA)
Substance Abuse Rehabilitation Facility 324500000X39007BN (CA)
Behavior Technician 106S00000XNone listed

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About NPI 1891471777

Tiffany Dyonne Vasquez, SUDRC 15344's National Provider Identifier is 1891471777, issued on Jun 26, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tracy, CA. The record was last updated on Oct 27, 2025.