Individual provider · Type 1 NPI
Tammy Lynn Roark, LADAC II
Addiction (Substance Use Disorder) Counselor · Johnson City, TN
NPI number
1922910280
Active
Practice location
1306 Baldridge Dr
Johnson City, TN 37604-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1621 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922910280
Tammy Lynn Roark, LADAC II's National Provider Identifier is 1922910280, issued on Sep 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Johnson City, TN. The record was last updated on Sep 21, 2026.