Individual provider · Type 1 NPI
Tasha Thibodeaux
Addiction (Substance Use Disorder) Counselor · Oakland, CA
NPI number
1922306752
Active
Practice location
1411 E 31st St
Oakland, CA 94602-1018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922306752
Tasha Thibodeaux's National Provider Identifier is 1922306752, issued on Mar 2, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Mar 2, 2011.