location
search-icon
person
Anthony Aadolphus Lord I
Addiction (Substance Use Disorder) Counselor in Novato, California
NPI 1376070490

Anthony Aadolphus Lord I is an Addiction (Substance Use Disorder) Counselor based in Novato, CA and is specialized in Addiction (Substance Use Disorder). Anthony Aadolphus Lord I practices in Novato, CA. The NPI Number for Anthony Aadolphus Lord I is 1376070490 and holds a License No. MPSS-CAZSPQ (California).

The current practice location address for Anthony Aadolphus Lord I is 1140 Elm Dr Apt 3, Novato, CA and can be reached out via phone at 415-320-2489 and via fax at 415-492-0834.

Location: 1140 Elm Dr Apt 3, Novato, CA, 94945-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376070490
Provider Name
Anthony Aadolphus Lord I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1140 Elm Dr Apt 3, Novato, CA, 94945-3133
Phone Number
415-320-2489
Fax Number
415-492-0834
Provider Enumeration Date
05/19/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
N5836204 05 CA
institution
Provider Business Practice Location Address Details
Address
1140 Elm Dr Apt 3
City
Novato
State
California
Zip
94945-3133
Phone Number
415-320-2489
Fax Number
415-492-0834
person
Provider Business Mailing Address Details
Address
1140 Elm Dr Apt 3
City
Novato
State
California
Zip
94945-3133
Phone Number
415-320-2489
Fax Number
415-492-0834
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-CAZSPQ (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.