Individual provider · Type 1 NPI

Kaitlyn Dion Elam

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1902620339 Active

Practice location

1143 Missouri St
Fairfield, CA 94533-6007

Fax (707) 435-0704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1615540525 (CA)

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

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About NPI 1902620339

Kaitlyn Dion Elam's National Provider Identifier is 1902620339, issued on Nov 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Feb 18, 2026.