person
Tina Apodaca
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1922762012

Tina Apodaca is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Tina Apodaca practices in Vallejo, CA. The NPI Number for Tina Apodaca is 1922762012 and holds a License No. R1412621220 (California).

The current practice location address for Tina Apodaca is 419 Pennsylvania St, Vallejo, CA and can be reached out via phone at 707-643-2715 and via fax at 707-643-8536.

Location: 419 Pennsylvania St, Vallejo, CA, 94590-6933
person
Provider Profile Details
NPI Number
1922762012
Provider Name
Tina Apodaca
Credential
Provider Entity Type
Individual
Gender
Female
Address
419 Pennsylvania St, Vallejo, CA, 94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1412621220 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider Business Mailing Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1412621220 (California)
Definition
Definition to come...
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