Individual provider · Type 1 NPI

PA Ia Thor

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1912360520 Active

Practice location

2100 Capitol Ave
Sacramento, CA 95816-5721

Mailing address

545 Cape Breton Ln
Tracy, CA 95377-6641

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 1912360520

PA Ia Thor's National Provider Identifier is 1912360520, issued on Mar 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 31, 2016.