Tracy Lynn Marshall, CADC III
Counselor, Addiction (Substance Use Disorder) in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1982437893
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1982437893
- Entity type
- Individual (NPI-1)
- Name
- Tracy Lynn Marshall
- Credential
- CADC III
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Aug 25, 2024
- Last updated
- Aug 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | B00003420624 | CA | Yes |
Practice location
23161 Mill Creek Dr Ste 315Laguna Hills, CA 92653-7907
Phone 949-415-4204
Mailing address
44 Paseo VerdeSan Clemente, CA 92673-6500
Phone 402-218-9287
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Laguna Hills, CA
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All 61 Addiction (Substance Use Disorder) Counselor providers in Laguna Hills · All 2,862 providers in Laguna Hills
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