Corrie Leanne Gradney, RADT
Counselor, Addiction (Substance Use Disorder) in Tarzana, CA. Individual provider (NPI-1).
NPI number1164031332
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1164031332
- Entity type
- Individual (NPI-1)
- Name
- Corrie Leanne Gradney
- Credential
- RADT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2020
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | r1398870720 | CA | Yes |
Practice location
18646 Oxnard StTarzana, CA 91356-1486
Phone 818-996-1051
Mailing address
18646 Oxnard StTarzana, CA 91356-1486
Phone 818-996-1051
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