Gary Tarpley, RADT
Counselor, Addiction (Substance Use Disorder) in Pasadena, CA. Individual provider (NPI-1).
NPI number1669992467
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669992467
- Entity type
- Individual (NPI-1)
- Name
- Gary Tarpley
- Credential
- RADT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1224920316 | CA | Yes |
Practice location
225 Grandview StPasadena, CA 91104-2114
Phone 626-797-1124
Mailing address
225 Grandview StPasadena, CA 91104-2114
Phone 626-797-1124
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