Tina Apodaca
Counselor, Addiction (Substance Use Disorder) in Vallejo, CA. Individual provider (NPI-1).
NPI number1922762012
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1922762012
- Entity type
- Individual (NPI-1)
- Name
- Tina Apodaca
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | r1412621220 | CA | Yes |
Practice location
419 Pennsylvania StVallejo, CA 94590-6933
Phone 707-643-2715 · Fax 707-643-8536
Mailing address
419 Pennsylvania St # AVallejo, CA 94590-6933
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