Individual provider · Type 1 NPI

Tracy Joe O'Cull

Addiction (Substance Use Disorder) Counselor · Desert Hot Springs, CA

NPI number 1962770735 Active

Practice location

14320 Palm Drive
Desert Hot Springs, CA 92240

Mailing address

14320 Palm Dr
Desert Hot Springs, CA 92240-6874

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1962770735

Tracy Joe O'Cull's National Provider Identifier is 1962770735, issued on Dec 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Desert Hot Springs, CA. The record was last updated on Feb 14, 2019.