Individual provider · Type 1 NPI
Michael Carlyle, CADC-CS, ICCS, CCDS
Addiction (Substance Use Disorder) Counselor · Temecula, CA
NPI number
1902488679
Active
Practice location
28184 Tierra Vista Rd
Temecula, CA 92592-3075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CS0920517 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902488679
Michael Carlyle, CADC-CS, ICCS, CCDS's National Provider Identifier is 1902488679, issued on Apr 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Temecula, CA. The record was last updated on Apr 22, 2021.